Provider Demographics
NPI:1710867452
Name:ABILITY BB WOODBURY LLC
Entity type:Organization
Organization Name:ABILITY BB WOODBURY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MABRY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-543-6767
Mailing Address - Street 1:700 COMMERCE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-9218
Mailing Address - Country:US
Mailing Address - Phone:651-371-5992
Mailing Address - Fax:614-901-9356
Practice Address - Street 1:700 COMMERCE DR STE 100
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-9218
Practice Address - Country:US
Practice Address - Phone:651-371-5992
Practice Address - Fax:614-901-9356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SL0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistLong-Term CareGroup - Multi-Specialty