Individual
MELISSA MOENKEDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
111 17TH AVE E, ALEXANDRIA, MN 56308-5273
(320) 762-6079
Mailing address
111 17TH AVE E, ALEXANDRIA, MN 56308-5273
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-06073
KS
225100000X
Physical Therapist
Primary
11204
MN
225100000X
Physical Therapist
PT-5556
ID
Other
Enumeration date
07/23/2019
Last updated
11/20/2023
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