Individual
KIRSTEN LEE ECKBLAD YOCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
650 TAFT ST NE, MINNEAPOLIS, MN 55413-2832
(612) 331-1815
Mailing address
5188 MARQUESS TRL N, LAKE ELMO, MN 55042-4400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6010
MN
Other
Enumeration date
09/28/2006
Last updated
04/20/2015
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