Individual
KELLY SUZANNE STADELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2620 EAGAN WOODS DR STE 200, EAGAN, MN 55121-1138
(651) 968-5230
(651) 994-3982
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5042
(651) 968-5904
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6365
MN
Other
Enumeration date
06/27/2007
Last updated
07/21/2022
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