Derek Koll

NPI #1255827119 in Little Falls, Minnesota

Provider Information

NPI Number: 1255827119
Entity Type: Individual
Name: Derek Koll
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jul 3, 2018
Last Updated: Mar 27, 2023

Practice Location

Address: 109 5TH ST NE
City: Little Falls
State: Minnesota
ZIP Code: 56345-2732
Phone: (320) 631-1104

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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