Individual
MELISSA RAE NYBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3305 CENTRAL PARK VILLAGE DR, SUITE 130, EAGAN, MN 55121-7707
(952) 892-2000
Mailing address
150 COBBLESTONE LN, BURNSVILLE, MN 55337-4578
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7382
MN
Other
Enumeration date
11/24/2006
Last updated
05/01/2017
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