Individual
KILEY LAVANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(651) 232-5000
Mailing address
3553 GIRARD AVE S, MINNEAPOLIS, MN 55408-3824
(763) 355-7781
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12822
MN
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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