Individual
MS. MISTY ROSE AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2800 CHICAGO AVE STE 102, MINNEAPOLIS, MN 55407-1353
(612) 863-4446
(612) 863-5698
Mailing address
2800 CHICAGO AVE STE 102, MINNEAPOLIS, MN 55407-1353
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8260
MN
Other
Enumeration date
09/12/2018
Last updated
04/02/2020
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