Individual ProviderPaulette Reveiz ThompsonPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address15800 95th Ave N, Maple Grove, MN 55369-4400(952) 993-7353PECOS EnrollmentBased on the most recent information from CMS, provider Paulette Reveiz Thompson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1720178171Provider TypeIndividualFull NameThompson, Paulette ReveizGenderFemaleSole ProprietorNoEnumeration Date10/14/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address15800 95th Ave N, Maple Grove, MN 55369-4400Phone(952) 993-7353FaxUnlisted FaxMailing LocationMailing Address6465 Wayzata Blvd, Ste 315, Minneapolis, MN 55426-1728PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense6595Minnesota