Corey Nathaniel Fett Valid NPI
Individual provider · Physical Therapist · Bloomington, MN
- NPI
- 1174715361
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- 7937 (MN)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-08-13
- Last updated
- 2007-08-13
Practice location
600 W 98th St, #390a
Bloomington, MN 55420-4773
(952) 885-6200