Individual
MIKAYLA PIEPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 E RIVER ST, MONTICELLO, MN 55362-8762
(763) 458-4162
Mailing address
11028 EDGEWOOD AVE N, CHAMPLIN, MN 55316-3847
(763) 458-4162
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3003
MN
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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