Individual
CHRISTOPHER MICHAEL KJOLHAUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1131 SOUTH MABELLE AVE, FERGUS FALLS, MN 56537
(218) 998-1500
Mailing address
2970 CALICO DR S UNIT F, FARGO, ND 58104-4505
(218) 280-8833
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11382
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134604127
—
MN
Enumeration date
09/26/2018
Last updated
01/22/2019
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