Individual
JOSIAH LEE THUNSHELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5525 CEDAR LAKE RD S, ST LOUIS PARK, MN 55416-1420
(701) 391-4084
Mailing address
6832 MORGAN AVE S, RICHFIELD, MN 55423-2112
(701) 391-4084
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8737
MN
Other
Enumeration date
06/14/2011
Last updated
08/06/2020
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