Individual
JUSTIN ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7447 EGAN DR STE 203, SAVAGE, MN 55378-2398
(952) 649-2005
(952) 226-5504
Mailing address
7447 EGAN DR STE 203, SAVAGE, MN 55378-2398
(952) 649-2005
(952) 226-5504
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225347537
—
MN
Enumeration date
10/05/2010
Last updated
10/05/2010
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