Individual
MELANIE KIELSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 8TH AVE N, HOPKINS, MN 55343-7670
(952) 933-5085
Mailing address
8280 MARKET BLVD APT 3105, CHANHASSEN, MN 55317-4400
(320) 293-7783
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4669
MN
225100000X
Physical Therapist
Primary
7809
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275666000
—
MN
Enumeration date
05/23/2017
Last updated
04/29/2019
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