Individual
KATELYN STASNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
900 HILLIGOSS BLVD SE, FOSSTON, MN 56542-1542
(218) 435-1133
Mailing address
900 HILLIGOSS BLVD SE, FOSSTON, MN 56542-1542
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2484
MN
Other
Enumeration date
01/27/2021
Last updated
08/26/2021
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