Kallie J Blaine, DPT

NPI #1639459431 in Andover, Minnesota

Provider Information

NPI Number
1639459431
Entity Type
Individual
Name
Kallie J Blaine, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
DPT
Enumeration Date
Aug 24, 2011
Last Updated
Oct 18, 2016

Practice Location

Address
1574 154TH AVE NW
ZIP Code
55304-4788
Phone
(763) 443-8108

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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