Individual
KRISTA K BAKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
315 W 5TH ST, STORM LAKE, IA 50588-1743
(712) 732-7724
(712) 732-1275
Mailing address
315 W 5TH ST, STORM LAKE, IA 50588-1743
(712) 732-7724
(712) 732-1275
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004858
IA
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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