Ida B Haxton, P.T.

NPI #1649504978 in Cook, Minnesota

Provider Information

NPI Number: 1649504978
Entity Type: Individual
Name: Ida B Haxton, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Sep 18, 2009
Last Updated: Dec 11, 2009

Practice Location

Address: 221 HIGHWAY 53
Address 2: SUITE D
City: Cook
State: Minnesota
ZIP Code: 55723-5102
Phone: (218) 666-2697

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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