Alice Kay Koshevatskiy, PT

NPI #1699550145 in Stanley, North Dakota

Provider Information

NPI Number: 1699550145
Entity Type: Individual
Name: Alice Kay Koshevatskiy, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 31, 2023
Last Updated: Aug 31, 2023

Practice Location

Address: 615 6TH ST SE
City: Stanley
State: North Dakota
ZIP Code: 58784-4444
Phone: (701) 628-8646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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