Individual
RACHEL ETHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4050 COON RAPIDS BLVD NW STE 149, COON RAPIDS, MN 55433-2522
(763) 236-8910
Mailing address
11021 SUNDANCE WOODS BLVD, MAPLE GROVE, MN 55369-2867
(651) 399-0201
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11151
MN
Other
Enumeration date
06/05/2019
Last updated
04/08/2020
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