Individual
JASMINE T SIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2945 HAZELWOOD ST, MAPLEWOOD, MN 55109-1241
(651) 364-6356
Mailing address
10259 3RD ST NE UNIT A, BLAINE, MN 55434-5407
(630) 201-1089
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070014158
IL
225100000X
Physical Therapist
Primary
10699
MN
Other
Enumeration date
04/26/2007
Last updated
09/25/2024
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