Individual
CHAD T MCNUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2090 WOODWINDS DR STE 150, WOODBURY, MN 55125-2522
(651) 968-5201
(651) 968-5904
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5201
(651) 968-5904
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10404
MN
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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