NPI 1013401660

Riley I Henricson

Practitioner Physical Therapy Assistant Thief River Falls, MN

Practice location

Address: 3001 Sanford Pkwy, Thief River Falls, MN 56701-2700
Phone: (218) 683-2000

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A1508 (MN)

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Registry record

NPI: 1013401660
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jun 2018
Record last updated: 18 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.