Kalli Jo Fanning, PT
NPI #1265272702 in Oak Park Heights, Minnesota
Provider Information
- NPI Number
- 1265272702
- Entity Type
- Individual
- Name
- Kalli Jo Fanning, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- May 31, 2024
- Last Updated
- Jan 22, 2025
Practice Location
- Address
- 5715 MEMORIAL AVE N
- City
- Oak Park Heights
- State
- Minnesota
- ZIP Code
- 55082-1093
- Phone
- (651) 439-8807
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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