Individual
JASON NIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1961 CARDINAL LN STE A, FARIBAULT, MN 55021-4354
(507) 333-2986
Mailing address
7551 9TH ST N STE 100, OAKDALE, MN 55128-6628
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10688
MN
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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