Individual
JESSACA HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
200 BUNKER HILL DR, AITKIN, MN 56431-1865
(218) 927-5537
Mailing address
200 BUNKER HILL DR, AITKIN, MN 56431-1865
(218) 927-5537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6903
MN
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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