Provider Demographics
NPI:1861066789
Name:AWAKE PELVIC HEALTH AND WELLNESS LLC
Entity type:Organization
Organization Name:AWAKE PELVIC HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:STROM
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:651-746-9499
Mailing Address - Street 1:700 COMMERCE DR STE 130
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-9235
Mailing Address - Country:US
Mailing Address - Phone:651-432-0250
Mailing Address - Fax:612-440-2193
Practice Address - Street 1:700 COMMERCE DR STE 130
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-9235
Practice Address - Country:US
Practice Address - Phone:651-432-0250
Practice Address - Fax:612-440-2193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-15
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy