NPI 1013653955

Carissa Anne Fuller, PTDPT

Practitioner Physical Therapist Hastings, MN

Practice location

Address: 1175 Nininger Rd, Hastings, MN 55033-1056
Phone: (651) 480-4100
Mailing address: 11053 287th Ave NW, Zimmerman, MN 55398-4344

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 12043 (MN)

Other Physical Therapist providers in Minnesota →

Registry record

NPI: 1013653955
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 May 2022
Record last updated: 11 May 2022

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.