Individual
SHANEL ELANE HATFIELD KALDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2701 W SUPERIOR ST STE 112, DULUTH, MN 55806-1885
(218) 727-1180
Mailing address
4992 HERMANTOWN RD, HERMANTOWN, MN 55811-1745
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11050
MN
Other
Enumeration date
10/07/2018
Last updated
10/07/2018
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