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Individual

KIRSTEN BECKER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2835 W SAINT GERMAIN ST, SUITE 300, SAINT CLOUD, MN 56301-4743
(320) 259-4151
(320) 259-5707
Mailing address
2835 W SAINT GERMAIN ST, SUITE 300, SAINT CLOUD, MN 56301-4743
(320) 259-4151
(320) 259-5707

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
MN5809
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
150073
MAYO MANAGEMENT ID
MN
01
41163580956301B013
CHAMPUS
MN
01
6401299
MEDICA PROVIDER ID
MN
01
9B104BE
BCBS PROVIDER ID
MN
01
HP31758
HEALTHPARTNERS ID
MN
Enumeration date
11/29/2005
Last updated
07/08/2007
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