Individual
KATHLEEN KELLY SCHAEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2595
(651) 254-1057
Mailing address
640 JACKSON ST, SAINT PAUL, MN 55101-2595
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10911
MN
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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