Individual
KJELL PETER MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
629 HICKORY ST NW, ALBANY, OR 97321-1758
(541) 730-4655
(541) 730-4660
Mailing address
PO BOX 1360, PHILOMATH, OR 97370-1360
(541) 730-4655
(541) 730-4660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11721
MN
225100000X
Physical Therapist
Primary
63741
OR
Other
Enumeration date
03/02/2020
Last updated
08/06/2024
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