Individual
KRIS SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1821 184TH AVE, SOMERSET, WI 54025-7244
(612) 501-2417
Mailing address
1821 184TH AVE, SOMERSET, WI 54025-7244
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1088
MN
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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