Individual
KERRY L MUIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5512 18TH ST S, FARGO, ND 58104-6362
(701) 330-5681
Mailing address
5512 18TH ST S, FARGO, ND 58104-6362
(701) 330-5681
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1030
ND
225100000X
Physical Therapist
Primary
PT008935
GA
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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