Individual
MARISSA KAY KLABUNDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7550 34TH AVE S, MINNEAPOLIS, MN 55450-2601
(612) 727-1167
Mailing address
7550 34TH AVE S, MINNEAPOLIS, MN 55450-2601
(612) 727-1167
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2564
MN
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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