Individual
KIM ALAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2801 WAYZATA BLVD, MINNEAPOLIS, MN 55405-2125
(612) 707-0169
(612) 465-1603
Mailing address
2801 WAYZATA BLVD, MINNEAPOLIS, MN 55405-2125
(612) 707-0169
(612) 465-1603
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2787
MN
2251E1200X
Ergonomics Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
01/30/2007
Last updated
03/19/2020
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