Individual
KEVIN ROBERT GENNRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
12982 VALLEY VIEW RD, EDEN PRAIRIE, MN 55344-3657
(952) 924-2519
(952) 924-0092
Mailing address
4200 DAHLBERG DR, SUITE 300, GOLDEN VALLEY, MN 55422-4840
(952) 512-5600
(952) 512-5637
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8630
MN
Other
Enumeration date
07/23/2009
Last updated
03/25/2016
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