Individual
DR. JUSTIN KYLE BLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Contact information
Practice address
4180 LEXINGTON AVE N, SHOREVIEW, MN 55126-6106
(651) 241-1455
(651) 241-1456
Mailing address
1739 HILLVIEW RD, SHOREVIEW, MN 55126-4909
(651) 241-1455
(651) 241-1456
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
6905
MN
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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