NPI 1700154689

Nicole Annmarie Kotaska

Practitioner Mechanotherapist Saint Francis, MN

Practice location

Address: 3220 Bridge St NW #111, Saint Francis, MN 55070-8632
Phone: (612) 240-6601
Mailing address: 4429 231st CT NW, Saint Francis, MN 55070-8788

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 301 (MN)

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Registry record

NPI: 1700154689
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Dec 2011
Record last updated: 7 Dec 2011

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.