Corey Nathaniel Fett

NPI #1174715361 in Bloomington, Minnesota

Provider Information

NPI Number: 1174715361
Entity Type: Individual
Name: Corey Nathaniel Fett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 13, 2007
Last Updated: Aug 13, 2007

Practice Location

Address: 600 W 98TH ST
Address 2: #390A
City: Bloomington
State: Minnesota
ZIP Code: 55420-4773
Phone: (952) 885-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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