Individual
REECE MARANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3456
Mailing address
2925 LAKE BLVD, NORTH ST PAUL, MN 55109-1652
(612) 708-1261
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
11886
MN
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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