Individual
KAITLIN FEIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1461 BROADWAY N, FARGO, ND 58102-2622
(701) 293-6037
Mailing address
1461 BROADWAY N, FARGO, ND 58102-2622
(701) 293-6037
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12797
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12797
PHYSICAL THERAPY LICENSE
MN
Enumeration date
08/25/2022
Last updated
08/25/2022
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