Individual
KRISTI WACHENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
609 4TH AVE NE, GARRISON, ND 58540-7519
(701) 463-2226
Mailing address
609 4TH AVE NE, GARRISON, ND 58540-7519
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2030
ND
Other
Enumeration date
10/23/2015
Last updated
01/13/2022
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