Individual
KATHY J THIEGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
817 MAIN ST NE, MINNEAPOLIS, MN 55413-1931
(612) 362-2415
Mailing address
817 MAIN ST NE, MINNEAPOLIS, MN 55413-1931
(612) 362-2415
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2428
MN
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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