Organization
HEALTH INTENDED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY PETSINGER PT (MANAGING MEMBER/OWNER)
(218) 329-6270
Entity
Organization
Contact information
Practice address
1054 ELIZABETH ST, HAWLEY, MN 56549-4443
(218) 329-6270
Mailing address
1054 ELIZABETH ST, HAWLEY, MN 56549-4443
(218) 329-6270
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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