Individual
LISA HENNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
700 N. MONROE, MINNEOTA, MN 56264
(507) 872-5300
Mailing address
500 CROSS ST, BIG STONE CITY, SD 57216-8237
(605) 541-1140
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0726
SD
225100000X
Physical Therapist
Primary
8142
MN
Other
Enumeration date
11/08/2006
Last updated
03/14/2022
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