Individual
NICHOLAS MARK HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4206 LOON LOOP, BIG LAKE, MN 55309-9023
(763) 699-1920
Mailing address
4206 LOON LOOP, BIG LAKE, MN 55309-9023
(763) 699-1920
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
WI
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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