Individual
STEPHANIE KIESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CPRP
Contact information
Practice address
1900 CHICAGO AVE, MINNEAPOLIS, MN 55404-1903
(320) 406-4531
Mailing address
1900 CHICAGO AVE, MINNEAPOLIS, MN 55404-1903
(320) 406-4531
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
4914260
MN
Other
Enumeration date
09/16/2015
Last updated
07/21/2022
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