Individual
KALLI JO FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5715 MEMORIAL AVE N, OAK PARK HEIGHTS, MN 55082-1093
(651) 439-8807
(651) 439-0232
Mailing address
3500 AMERICAN BLVD W STE 300, BLOOMINGTON, MN 55431-4442
(952) 512-5600
(952) 512-5651
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13456
MN
Other
Enumeration date
05/31/2024
Last updated
01/22/2025
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