Provider Demographics
NPI:1447980149
Name:ABOVE AND BEYOND THERAPEUTIC SERVICES LLC
Entity type:Organization
Organization Name:ABOVE AND BEYOND THERAPEUTIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHEER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:320-221-2674
Mailing Address - Street 1:7044 ROCKWOOD AVE NW
Mailing Address - Street 2:
Mailing Address - City:SOUTH HAVEN
Mailing Address - State:MN
Mailing Address - Zip Code:55382-3854
Mailing Address - Country:US
Mailing Address - Phone:320-221-2674
Mailing Address - Fax:
Practice Address - Street 1:990 ELM ST E
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:MN
Practice Address - Zip Code:55302-9416
Practice Address - Country:US
Practice Address - Phone:320-221-2674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center