OrganizationActive
Functional Integrated Therapy, Ltd
NPI 1477640613 · Rehabilitation Clinic/Center · Maplewood, MN
Provider details
- NPI number
- 1477640613
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kristi Worrell, Owner/Operator(651) 770-8884
- License
- 100591 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2495 Maplewood Drive
Suite 313
Maplewood, MN 55109-1913
Phone: (651) 770-8884
Fax: (651) 770-8151
Approximate (ZIP-level) locationGet directions
Mailing address
2495 Maplewood Drive
Maplewood, MN 55109-1913
Other names (DBA / former)
- Doing business as
- Functional Kids Clinic
Registry dates
- Enumerated
- 2006-10-09
- Last updated
- 2009-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.