Individual
MRS. KATHRYN ANNE MOODY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5800 149TH ST W, APPLE VALLEY, MN 55124-8117
(952) 431-8700
(952) 431-8337
Mailing address
13730 FERNANDO AVE, APPLE VALLEY, MN 55124-5032
(952) 997-2571
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6565
MN
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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