Most Relevant Information
Provider Data
| NPI Number: | 1003265083 |
| Provider Name: | ELIZABETH KAE HERMANSON DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 10281 |
Most Important Dates
| Enumeration Date: | 06/09/2016 |
| Last Updated: | 09/05/2018 |
Provider Practice Location
14884 KIRKWOOD DR
BAXTER
MN
56425
Practice Location Phone/Fax
| Phone: | 2188245027 |
| Fax: |
Provider Mailing Location
14884 KIRKWOOD DR
BAXTER
MN
564258451
Provider Mailing Phone/Fax
| Phone: | 2188245027 |
| Fax: |