Corey Nathaniel Fett

NPI 1174715361 - Physical Therapist - 225100000X

NPI Details
NPI 1174715361
Gender Male
Enumeration Date 08/13/2007
Last Updated 08/13/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
600 W 98TH ST
BLOOMINGTON MN, 55420-4773, US
Phone (952) 885-6200
Business Location
SHAKOPEE MN, 55379-4527, US
Taxonomy Code 225100000X
License State Minnesota
License Number 7937
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According to our database, Corey Nathaniel Fett NPI is 1174715361, taxonomy code is 225100000X and license number is 7937, license state is located at Minnesota. Corey Nathaniel Fett physically located at 600 W 98th St, Bloomington MN, 55420-4773. NPI Number Corey Nathaniel Fett has the Individual type.

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1174715361 NPI number is provided on an as is basis without warranty of any kind. 1174715361 is maintained by the National Plan & Provider Enumeration System. The contents of Corey Nathaniel Fett are for informational purposes only.