Individual
KEELYN GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4700
(952) 993-5000
Mailing address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13245
MN
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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