Individual
COREY NATHANIEL FETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 W 98TH ST, #390A, BLOOMINGTON, MN 55420-4773
(952) 885-6200
Mailing address
1679 COUNTRYSIDE DR, SHAKOPEE, MN 55379-4527
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7937
MN
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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