Richelle M Dack PT

NPI 1134208648 - Physical Therapist - 225100000X

NPI Details
NPI 1134208648
Gender Female
Enumeration Date 11/03/2006
Last Updated 12/18/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
3400 W 66TH ST
SUITE 300
EDINA MN, 55435-2111, US
Phone (952) 345-3000
Fax
Business Location
3400 W 66TH ST
SUITE 300
EDINA MN, 55435-2111, US
Phone (952) 345-3000
Fax
Toxanomy
Taxonomy Code 225100000X
License State Minnesota
License Number 7752
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According to our database, Richelle M Dack PT NPI is 1134208648, taxonomy code is 225100000X and license number is 7752, license state is located at Minnesota. Richelle M Dack PT physically located at 3400 W 66th St, Edina MN, 55435-2111. NPI Number Richelle M Dack PT has the Individual type.

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1134208648 NPI number is provided on an as is basis without warranty of any kind. 1134208648 is maintained by the National Plan & Provider Enumeration System. The contents of Richelle M Dack PT are for informational purposes only.