Individual
KRISTEN ELIZABETH BRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2155 FORD PKWY, SAINT PAUL, MN 55116-2799
(651) 696-5010
Mailing address
7 CAROLINE LN, ELMA, NY 14059-9276
(716) 512-5134
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12517
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
913467042
INDEPENDENT HEALTH
NY
Enumeration date
05/28/2019
Last updated
08/18/2022
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