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Individual

KRISTI MAXWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 924-5000
Mailing address
6401 FRANCE AVE S, EDINA, MN 55435-2104

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
9848
MN
172M00000X
Mechanotherapist
PT012578
GA
225100000X
Physical Therapist
Primary
9848
MN

Other

Enumeration date
02/17/2015
Last updated
01/07/2020
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