Individual
KELLY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
550 VANDALIA ST, SUITE 105, SAINT PAUL, MN 55114-1833
(651) 348-7428
Mailing address
7551 9TH ST N, SUITE 100, OAKDALE, MN 55128-6629
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10346
MN
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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