Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maverick Physiotherapy LLC

Organization Physical Therapist · NPI 1073185393

Maverick Physiotherapy LLC is a Physical Therapist in Saint Paul, Minnesota. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

155 Eaton St
Saint Paul, MN 55107-1602
Phone: (612) 642-1847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1073185393
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mason Richlen — Co-Owner · (715) 271-0303
NPI enumeratedJuly 15, 2021
Last updated in NPPESSeptember 10, 2021
Certification dateSeptember 10, 2021
Mailing address155 Eaton St, Saint Paul, MN 55107-1602

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