Individual
MR. KRIS DUANE BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.P.T., L.P.T.A.
Contact information
Practice address
515 GLENWOOD ST, DULUTH, MN 55803-2106
(218) 340-8714
Mailing address
515 GLENWOOD ST, DULUTH, MN 55803-2106
(218) 340-8714
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A358
MN
225700000X
Massage Therapist
5934
TX
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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