Individual
KAYLI MARIE MOLLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1245 WASHINGTON AVE, DETROIT LAKES, MN 56501-3905
(218) 846-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(218) 548-5580
(218) 548-5580
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11133
MN
Other
Enumeration date
09/03/2020
Last updated
07/25/2024
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