Kelly Jean Nowacki, P.T.

NPI #1265451090 in Wayzata, Minnesota

Provider Information

NPI Number: 1265451090
Entity Type: Individual
Name: Kelly Jean Nowacki, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Jul 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 600 TWELVE OAKS CENTER DR
Address 2: #638
City: Wayzata
State: Minnesota
ZIP Code: 55391-4501
Phone: (952) 476-0224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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