Riley I Henricson
Physical Therapy Assistant
3001 Sanford Pkwy
Thief River Falls
, Minnesota 56701-2700
Riley I Henricson
Physical Therapy Assistant
3001 Sanford Pkwy
Thief River Falls
, Minnesota 56701-2700
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Riley I Henricson
- 3001 Sanford Pkwy
- Thief River Falls, MN
- Zip : 56701-2700
- Phone :
Second Address
- Riley I Henricson
- 3001 Sanford Pkwy
- Thief River Falls, MN
- Zip : 56701-2700
- Phone : (218) 683-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | A1508 | MN |
National Provider Identifier
| NPI | 1013401660 |
|---|---|
| Provider Name | Riley I Henricson |
| First Address | Thief River Falls, MN 56701-2700 |
| Second Address | Thief River Falls, MN 56701-2700 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/06/2018 |
| Last Update Date | 18/06/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.