Individual
JENNIFER MISTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4869 ANDERSON RD, HERMANTOWN, MN 55811-1703
(715) 651-9728
Mailing address
4869 ANDERSON RD, HERMANTOWN, MN 55811-1703
(715) 651-9728
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4019-19
WI
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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