Individual
KASSANDRA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1420 9TH ST E STE 401, WEST FARGO, ND 58078-3381
(017) 364-2739
Mailing address
1420 9TH ST E STE 401, WEST FARGO, ND 58078-3381
(701) 364-2739
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1990
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1990
ND STATE LICENSE
ND
Enumeration date
06/05/2015
Last updated
09/10/2021
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