Individual
NICOLE ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 W BROADWAY AVE, MINNEAPOLIS, MN 55411-2533
(612) 668-0254
Mailing address
5620 IRVING AVE S, MINNEAPOLIS, MN 55419-1636
(612) 668-0254
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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