Individual
KARISSA LAUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 8TH ST S, NEW ROCKFORD, ND 58356-1520
(701) 947-5015
Mailing address
16 8TH ST S, NEW ROCKFORD, ND 58356-1520
(701) 947-5015
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1018A
ND
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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