Individual
MR. KASEY MICHAEL GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-8583
Mailing address
1481 IOWA AVE W, FALCON HEIGHTS, MN 55108-2126
(651) 488-9063
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A370
MN
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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