Individual
JENNA BOTTILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5050 MAPLE GROVE RD, HERMANTOWN, MN 55811-1444
(218) 780-0042
Mailing address
5050 MAPLE GROVE RD, HERMANTOWN, MN 55811-1444
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17346-24
WI
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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