Kjersten Mae Ivarson, PT

NPI #1760952824 in Morrison, Illinois

Provider Information

NPI Number: 1760952824
Entity Type: Individual
Name: Kjersten Mae Ivarson, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Dec 3, 2018
Last Updated: Dec 3, 2018

Practice Location

Address: 408 MAPLE AVE
City: Morrison
State: Illinois
ZIP Code: 61270-2904
Phone: (815) 772-4021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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