Most Relevant Information
Provider Data
| NPI Number: | 1003647355 |
| Provider Name: | JACK HILBRANDS |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | A3017 |
Most Important Dates
| Enumeration Date: | 08/09/2024 |
| Last Updated: | 08/09/2024 |
Provider Practice Location
1511 US HIGHWAY 59 SE STE A
THIEF RIVER FALLS
MN
567013413
Practice Location Phone/Fax
| Phone: | 2186810449 |
| Fax: | 2183254501 |
Provider Mailing Location
1511 US HIGHWAY 59 SE STE A
THIEF RIVER FALLS
MN
567013413
Provider Mailing Phone/Fax
| Phone: | 2186810449 |
| Fax: | 2183254501 |