OrganizationActive
Aegis Group Practice LLC
NPI 1871315010 · Physical Therapist · Champlin, MN
Provider details
- NPI number
- 1871315010
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Tracy Mccall, Credentialing(479) 201-6091
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Practice location
8700 Emery Pkwy N
Champlin, MN 55316-2400
Phone: (479) 201-6091
Approximate (ZIP-level) locationGet directions
Mailing address
4933 Old Greenwood Rd
Fort Smith, AR 72903-6906
Registry dates
- Enumerated
- 2024-10-29
- Last updated
- 2024-10-29
- Certified
- 2024-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.