Individual
ALLISON RAE KUMMET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8446 S POND TRL, CHAMPLIN, MN 55316-3784
(612) 812-9556
Mailing address
8446 S POND TRL, CHAMPLIN, MN 55316-3784
(612) 812-9556
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1216
MN
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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