Individual
MS. AMY MAGNUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2547 WI-35 STE #5, LUCK, WI 54853
(715) 472-5225
Mailing address
5366 386TH ST NE, NORTH BRANCH, MN 55056-5833
(651) 674-6775
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10068
MN
225100000X
Physical Therapist
16135-24
WI
390200000X
Student in an Organized Health Care Education/Training Program
4038
MN
Other
Enumeration date
05/18/2015
Last updated
08/14/2024
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