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Individual

STACEY KESTNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
4756 DOW RD, SAGINAW, MN 55779-9769
(218) 830-1165
Mailing address
4756 DOW RD, SAGINAW, MN 55779-9769
(218) 830-1165

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A454
MN

Other

Enumeration date
07/14/2015
Last updated
07/14/2015
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