Individual
AMANDA MARIE SLAIKEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
705 PLEASANT AVENUE SOUTH, PARK RAPIDS, MN 56470
(218) 732-2800
Mailing address
523 NORTH 3RD STREET, BRAINERD, MN 56401-3054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11309
MN
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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