Individual
KELLY A GERAGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
211 S BOUNDARY AVE, PROCTOR, MN 55810-2306
(218) 576-0200
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1100
MN
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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