Individual
PAIGE KOEHNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1574 154TH AVE NW, ANDOVER, MN 55304
(763) 433-8108
(763) 433-8134
Mailing address
P. O. BOX 139, 139 MAIN ST NW, BETHEL, MN 55005-0139
(763) 269-8065
(763) 433-8134
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
MN9142
MN
Other
Enumeration date
04/29/2014
Last updated
05/15/2014
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