Jennifer Mistry, PTA

NPI #1437876919 in Hermantown, Minnesota

Provider Information

NPI Number: 1437876919
Entity Type: Individual
Name: Jennifer Mistry, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 25, 2022
Last Updated: Oct 25, 2022

Practice Location

Address: 4869 ANDERSON RD
City: Hermantown
State: Minnesota
ZIP Code: 55811-1703
Phone: (715) 651-9728

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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