Individual
KAILEN HALVORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4 N PARK ST, NORTHWOOD, ND 58267-4102
(701) 587-6060
Mailing address
1122 21ST ST NW, EAST GRAND FORKS, MN 56721-2919
(701) 317-5199
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2721
ND
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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