Individual
KARISSA HOUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13886 STONEBROOKE CURV, SHAKOPEE, MN 55379-8113
(612) 210-4997
Mailing address
13886 STONEBROOKE CURV, SHAKOPEE, MN 55379-8113
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0013802
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013802
—
CO
Enumeration date
04/01/2016
Last updated
04/01/2016
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