Individual
NAGA RUMICHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2104 NORTHDALE BLVD NW, COON RAPIDS, MN 55433-3028
(612) 644-5501
Mailing address
3301 5TH AVE S, MINNEAPOLIS, MN 55408-3250
(612) 644-5501
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
12288
MN
2255A2300X
Athletic Trainer
2621
MN
Other
Enumeration date
07/02/2015
Last updated
06/24/2021
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