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Individual
KAY COAPSTICK
Active
Individual
KAY COAPSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4366
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21D61CO
BLUE CROSS BLUE SHIELD
MN
05
—
616055700
—
MN
01
—
6401242
MEDICA
MN
01
—
HP45712
HEALTH PARTNERS
MN
Enumeration date
10/06/2006
Last updated
12/14/2011
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