Individual
MS. KRISTIN NOEL PROCOPIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1516 W LAKE ST, #225, MINNEAPOLIS, MN 55408-2554
(952) 922-2012
(952) 922-2013
Mailing address
1516 W LAKE ST, #225, MINNEAPOLIS, MN 55408-2554
(952) 922-2012
(952) 922-2013
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237761048937
PREFERRED ONE
MN
01
—
528L5PR
BCBS
MN
01
—
HP73743
HEALTH PARTNERS
MN
Enumeration date
02/17/2007
Last updated
07/08/2007
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