Individual
KAYLA JO HULTERSTRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
612 S SIBLEY AVE, LITCHFIELD, MN 55355-3340
(320) 693-4528
Mailing address
28 E 10TH ST, LITCHFIELD, MN 55355-1304
(320) 262-2576
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2044
MN
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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