Individual
DR. CARTER PHILIP KASIANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2270 FORD PKWY STE 200, SAINT PAUL, MN 55116-3412
(855) 324-7843
Mailing address
700 VIKINGS PKWY UNIT 229, EAGAN, MN 55121-1952
(320) 310-3853
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13102
MN
Other
Enumeration date
06/28/2023
Last updated
06/29/2023
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