Individual
KATHERINE I WACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1891 STATION PKWY NW, ANDOVER, MN 55304-3341
(763) 755-4275
Mailing address
1891 STATION PKWY NW, ANDOVER, MN 55304-3341
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
TEMP 2346
MN
Other
Enumeration date
07/03/2007
Last updated
06/18/2021
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