Marie Kettersmith

NPI #1528505278 in Buffalo, Minnesota

Provider Information

NPI Number: 1528505278
Entity Type: Individual
Name: Marie Kettersmith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jan 19, 2017
Last Updated: Jan 19, 2017

Practice Location

Address: 25 1ST AVE NE
City: Buffalo
State: Minnesota
ZIP Code: 55313-1568
Phone: (763) 682-3005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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