Individual
KATHY SUE TRAUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
9101 OLD CEDAR AVE S, #204, BLOOMINGTON, MN 55425-2341
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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