Individual
KATIE LYNN SMEDSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1029 W CENTRAL ENTRANCE, DULUTH, MN 55811-5477
(952) 835-4512
(888) 425-0398
Mailing address
SSB-6, 400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11692
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107248
OPTUM (UNITED HEALTH CARE) PROVIDER ID
MN
Enumeration date
05/30/2019
Last updated
10/13/2024
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