Individual
RESADA KATHRYN ENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
111 17TH AVE E, ALEXANDRIA, MN 56308-5273
(320) 762-6079
(320) 762-6123
Mailing address
410 N 5TH ST, MONTEVIDEO, MN 56265-1508
(320) 226-5739
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
10378
MN
2255A2300X
Athletic Trainer
2187
MN
Other
Enumeration date
11/05/2011
Last updated
11/17/2023
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