Individual
KEANDRA TYUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 COLUMBUS AVE N, NEW PRAGUE, MN 56071-2008
(952) 395-3100
Mailing address
816 PORTLAND AVE APT 921, MINNEAPOLIS, MN 55404-4632
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1406899
TX
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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