Individual
KELLIE L HAEHNEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMT
Contact information
Practice address
3435 WASHINGTON DR, STE 206, EAGAN, MN 55122-1339
(612) 804-4463
Mailing address
930 OAKWOOD HEIGHTS CIR, EAGAN, MN 55123-1937
(612) 804-4463
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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