OrganizationActive
Changing Gaits Inc.
NPI 1316476864 · Voluntary or Charitable Agency · Brook Park, MN
Provider details
- NPI number
- 1316476864
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- Niles Kaufman, Executive Director(320) 438-4001
Specialties & taxonomies
Agencies
Practice location
27274 Monument Rd
Brook Park, MN 55007-2196
Phone: (320) 438-4001
Fax: (320) 438-2252
Approximate (ZIP-level) locationGet directions
Mailing address
27274 Monument Rd
Brook Park, MN 55007-2196
Additional practice locations (1)
- 39689 Park TrlCenter City, MN 55012-7538Phone: (320) 438-4001Fax: (320) 438-2252
Registry dates
- Enumerated
- 2017-06-08
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.