Individual
MELISSA HENNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5250 W 74TH ST STE 8, EDINA, MN 55439-2229
(612) 562-8656
Mailing address
5250 W 74TH ST STE 8, EDINA, MN 55439-2229
(612) 562-8656
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9449
MN
Other
Enumeration date
02/17/2014
Last updated
11/10/2020
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