Individual
ASHLEY STIFTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
2700 E 28TH ST, MINNEAPOLIS, MN 55406-2990
(612) 345-7769
Mailing address
652 NORTHGATE DR, PO BOX 410, WINSTED, MN 55395-1056
(952) 564-7506
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11695
MN
2255A2300X
Athletic Trainer
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235507690
—
MS
Enumeration date
09/02/2015
Last updated
10/09/2019
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