Individual
JESSICA SYVRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1601 SAINT FRANCIS AVE STE 200, SHAKOPEE, MN 55379-3385
(952) 428-2001
Mailing address
5800 AMERICAN BLVD W APT 210, BLOOMINGTON, MN 55437-1472
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12427
MN
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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