Individual
KELLY LEE WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1055 WESTGATE DR STE 100, SAINT PAUL, MN 55114-1451
(952) 239-7994
Mailing address
7620 LANDAU DR, BLOOMINGTON, MN 55438-2314
(952) 239-7994
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2162
MN
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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