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Individual

ELLE KINGSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1381 JEFFERSON RD, NORTHFIELD, MN 55057-3080
(507) 646-8800
Mailing address
1381 JEFFERSON RD, NORTHFIELD, MN 55057-3080
(507) 646-8800

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11525
MN

Other

Enumeration date
06/18/2019
Last updated
06/18/2019
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