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Contact Information

MIDWEST MYOFUNCTIONAL SERVICES LLC
11670 FOUNTAINS DR. N
SUITE 200
MAPLE GROVE, MN55369
 Phone: 952-994-9313
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for MIDWEST MYOFUNCTIONAL SERVICES LLC · (Female)

NPI # 1992412936
Status Active
Credentials
Entity Individual
Enumeration date 10/31/2022
Last updated 10/31/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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