Individual ProviderMichael Thomas SovellPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address8290 University Ave NE, Fridley, MN 55432-1847(763) 784-2340PECOS EnrollmentBased on the most recent information from CMS, provider Michael Thomas Sovell 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 ID1790748952Provider TypeIndividualFull NameSovell, Michael ThomasCredentialPTGenderMaleEnumeration Date4/10/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address8290 University Ave NE, Fridley, MN 55432-1847Phone(763) 784-2340FaxUnlisted FaxMailing LocationMailing Address3647 12th Ave S, Minneapolis, MN 55407-2764PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense7163Minnesota