Individual
JASON PETER KOLTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(952) 924-1340
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6469
MN
Other
Enumeration date
08/01/2006
Last updated
05/29/2008
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