Individual
KELLY ECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14635 PENNOCK AVE STE 300, APPLE VALLEY, MN 55124-6588
(651) 994-9644
(651) 994-8962
Mailing address
2795 PILOT KNOB RD STE 100, EAGAN, MN 55121-1930
(651) 994-9644
(651) 994-8962
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107099
MN
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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