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NPI Code Detail

MEDICARE: KITTY LU

MEDICARE: KITTY LU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist14092MN

General Provider Information

NPI Number : 1407781651
Entity Type Code : Individual
Provider Name (Legal Business Name) : KITTY LU
Provider Business Mailing Address
First Line : 459 MILTON ST N
Second Line :
City : SAINT PAUL
State : MN
Zip : 55104-4732
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 HARVARD ST SE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55455-0363
Country : US
Telephone Number : 612-273-8383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2026
Last Update Date : 06/17/2026

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Directions to “ KITTY LU ” Practice Location

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