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NPI Code Detail

MEDICARE: KATHLEEN FINN RPT

MEDICARE: KATHLEEN FINN RPT
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 Therapist5249MN
2225100000XPhysical Therapist5478WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17B187FIOTHERMNBCBS
2HP59688OTHERMNHEALTH PARTNERS
36406168OTHERMNMEDICA

General Provider Information

NPI Number : 1457452849
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN FINN RPT
Provider Business Mailing Address
First Line : 4203 HONEYSUCKLE CT
Second Line :
City : VADNAIS HEIGHTS
State : MN
Zip : 55127-6139
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1994 E RUM RIVER DR S
Second Line :
City : CAMBRIDGE
State : MN
Zip : 55008-2663
Country : US
Telephone Number : 763-689-5385
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 07/09/2007

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1881785699 — SCLINDA JANSSEN OTR
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