# KAY COAPSTICK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013004472
- **Gender:** F
- **Credential:** LPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 4366 | MN | Yes |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 12/14/2011

## 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 |