Individual
KAYLA MARIE TACKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
30 FAIRVIEW AVE S STE 200, SAINT PAUL, MN 55105-1463
(952) 835-4512
(888) 425-0398
Mailing address
7825 3RD ST N STE 105, OAKDALE, MN 55128-5403
(952) 835-4512
(888) 425-0398
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11127
MN
Other
Enumeration date
09/14/2018
Last updated
04/10/2023
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