Aegis Group Practice LLC
Physical Therapist in Eden Prairie, MN. Organization (NPI-2).
NPI number1285543439
StatusActive
Last updated in NPPESSep 3, 2026
Details
- NPI
- 1285543439
- Entity type
- Organization (NPI-2)
- Legal business name
- Aegis Group Practice LLC
- Organization subpart
- No
- Enumeration date
- Sep 3, 2026
- Certification date
- Sep 3, 2026
- Last updated
- Sep 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 225X00000X | Occupational Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
10300 Hennepin Town RdEden Prairie, MN 55347-5100
Phone 479-201-6037
Mailing address
4933 Old Greenwood RdFort Smith, AR 72903-6906
Phone 479-201-6037
Authorized official
Terry Lamb
Credentialing
4792016037
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All 90 Physical Therapist providers in Eden Prairie · All 2,103 providers in Eden Prairie
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