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

Phenom Physical Therapy Inc

Organization Physical Therapy Clinic/Center · NPI 1902255383

Phenom Physical Therapy Inc is a Physical Therapy Clinic/Center in Saint Michael, Minnesota. Licensed in Minnesota. Registered with an NPI since 2016.

Licensed in
MN
In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

703 Thielen Dr
Saint Michael, MN 55376-9613
Phone: (763) 497-1153
Fax: (763) 497-5256
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X (MN)

Record details

NPI number1902255383
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Craig Butturff — Owner · (320) 543-1104
NPI enumeratedJune 7, 2016
Last updated in NPPESDecember 6, 2016
Mailing addressPo Box 737, Howard Lake, MN 55349-0737