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

Viverant, LLC

Organization Registered Dietitian · NPI 1124540968

Viverant, LLC is a Registered Dietitian in Saint Louis Park, Minnesota. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3912 Excelsior Blvd
Saint Louis Park, MN 55416-4709
Phone: (952) 835-4512
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Registered Dietitian Taxonomy 133V00000X

Record details

NPI number1124540968
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationViverant PT LLC
Authorized official Michael Lanham — Director · (952) 835-4512
NPI enumeratedJuly 13, 2017
Last updated in NPPESJune 1, 2020
Certification dateJune 1, 2020
Mailing address7825 3rd St N, Ste 105, Oakdale, MN 55128-5444

Other providers in Saint Louis Park