Individual
THERESA F KOKOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4601 EXCELSIOR BLVD STE 407, ST LOUIS PARK, MN 55416-4977
(612) 201-8579
Mailing address
4601 EXCELSIOR BLVD STE 407, ST LOUIS PARK, MN 55416-4977
(612) 201-8579
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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