NPI 1013772367
Kevyn Ayn Funk, PTA
Practice location
- Address
- 1710 Suburban Ave, Saint Paul, MN 55106-6636
- Phone
- (651) 254-3200
- Mailing address
- 3524 44th Ave S, Minneapolis, MN 55406-2904
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1013772367
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Feb 2024
- Record last updated
- 15 Feb 2024
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.