Individual
KELLI MARIE HIGHTSHOE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC,R
Contact information
Practice address
934 CHICAGO AVE, MINNEAPOLIS, MN 55404-1345
(952) 210-5391
Mailing address
13050 DAHLIA CIR, #211, EDEN PRAIRIE, MN 55344-7653
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1909
MN
Other
Enumeration date
04/06/2006
Last updated
07/08/2007
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