# CANDACE K PELLA

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

## Provider details

- **NPI number:** 1518913359
- **Gender:** F
- **Credential:** PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 4734 | MN | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 04/26/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 125107 | UCARE | MN |
| 01 | — | 134G1PE | BLUE CROSS BLUE SHIELD | MN |
| 01 | — | 6405366 | MEDICA | MN |
| 05 | — | 713523800 | — | MN |
| 01 | — | 936131043346 | PREFERRED ONE | MN |
| 01 | — | HP49410 | HEALTH PARTNERS | MN |