Individual
BIETA KIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5775 WAYZATA BLVD, SUITE 900, ST LOUIS PARK, MN 55416-1222
(952) 467-6629
Mailing address
5775 WAYZATA BLVD, SUITE 900, ST LOUIS PARK, MN 55416-1222
(952) 467-6629
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9468
MN
Other
Enumeration date
08/12/2013
Last updated
02/15/2015
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