NPI 1215318670

Jonathan Severson

Practitioner Physical Therapist Baxter, MN

Practice location

Address: 14884 Kirkwood Dr, Baxter, MN 56425-8451
Phone: (218) 824-5027
Mailing address: 26 2nd St NW, Crosby, MN 56441-1428

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 9939 (MN)

Other Physical Therapist providers in Minnesota →

Registry record

NPI: 1215318670
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jun 2015
Record last updated: 11 Jun 2015

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.