Minnesota Medical And Rehabilitative Services, Llc

Speech-language Pathologist


  
4201 Excelsior Blvd, St. Louis Park
Minnesota, 55416-4728

 952-564-3880     952-945-9536Maps & Directions
Minnesota Medical And Rehabilitative Services, Llc is a Speech-language Pathologist Clinic in St. Louis Park, Minnesota. It is situated at 4201 Excelsior Blvd, St. Louis Park and its contact number is 952-564-3880. The authorized person of Minnesota Medical And Rehabilitative Services, Llc is Jacob I Mirman who is Managing Partner of the clinic and their contact number is 952-933-8900. Primary license number for Minnesota Medical And Rehabilitative Services, Llc is 1544 (Physical Therapy) in Minnesota.
Minnesota Medical And Rehabilitative Services, Llc Clinic The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Physical Therapy treatments have been proved effective in many problems, such as continuous back pain, neck pain, headache, digestive problems, balance difficulties, whiplash and other collision injuries, occupational and sports injuries. Some of the other diseases in which physio treatment is helpful are Sciatica, Scoliosis, Fibromyalgia, TMJ disorders etc.
Complete Clinic Profile:
Minnesota Medical And Rehabilitative Services, Llc Clinic speciality, address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Specialization: Speech-language Pathologist
Clinic Address:4201 Excelsior Blvd, St. Louis Park,
Minnesota, 55416-4728
Phone:952-564-3880
Fax:952-945-9536
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name: Jacob I Mirman
Position: Managing Partner
Contact Number: 952-933-8900
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details for Minnesota Medical And Rehabilitative Services, Llc Clinic are as mentioned below.
NPI Number: 1154302545
NPI Enumeration Date: 11 Nov, 2005
NPI Last Update On: 18 Sep, 2025

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Minnesota Medical And Rehabilitative Services, Llc are as mentioned below.
SpecializationLicense NumberStateStatus
Physical Therapist 1544MinnesotaPrimary
Speech-language Pathologist 5169MinnesotaSecondary
Occupational Therapist 102980MinnesotaSecondary
Physical Therapist 2264MinnesotaSecondary
Speech-language Pathologist 6034MinnesotaSecondary
Physical Therapist 5806MinnesotaSecondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
407858600MedicaidMinnesota
1154302545MedicaidMinnesota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Minnesota Medical And Rehabilitative Services, Llc
4201 Excelsior Blvd,
St Louis Park, Minnesota
Zip: 55416-4728
Phone Number: 952-933-8900
Fax Number: 952-945-9536
Patients can reach Minnesota Medical And Rehabilitative Services, Llc at 4201 Excelsior Blvd, St. Louis Park, Minnesota or can call to book an appointment on 952-564-3880. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.

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