Riley I Henricson

NPI #1013401660 in Thief River Falls, Minnesota

Provider Information

NPI Number: 1013401660
Entity Type: Individual
Name: Riley I Henricson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jun 18, 2018
Last Updated: Jun 18, 2018

Practice Location

Address: 3001 SANFORD PKWY
City: Thief River Falls
State: Minnesota
ZIP Code: 56701-2700
Phone: (218) 683-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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