Individual
KELLIE L IRLBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EXERCISE PHYSIOLOGIS
Contact information
Practice address
738 13TH AVE S, SAINT CLOUD, MN 56301-4227
(612) 385-9357
Mailing address
738 13TH AVE S, SAINT CLOUD, MN 56301-4227
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
MN
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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