Individual
KIMBERLY JO KLAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
201 UNIVERSITY DR S, FARGO, ND 58103-1775
(701) 239-3000
Mailing address
201 UNIVERSITY DR S, FARGO, ND 58103-1775
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0903A
ND
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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