Individual
MICHELLE LYNN CRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4310 VERMILION RD, DULUTH, MN 55803-1422
(218) 525-5315
Mailing address
4310 VERMILION RD, DULUTH, MN 55803-1422
(218) 525-5315
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1086-019
WI
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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