Individual
KATHRYN COTTRELL DUSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4804 THOMAS AVE S, MINNEAPOLIS, MN 55410-1802
(617) 519-8083
Mailing address
4804 THOMAS AVE S, MINNEAPOLIS, MN 55410-1802
(617) 519-8083
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
460940345
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6175198083
CLINIC
MN
Enumeration date
05/12/2021
Last updated
05/12/2021
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