Search › Minnesota › 363LF0000X

Tarikua Katiso

NPI 1063206134 · on the registry since 2025 · sole proprietor

Practice

Address
10792 Ashley Ln
Woodbury, MN 55129
Phone
(651) 497-1459
Clinicians at this address
2

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota