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Khadijah Brunner
NPI 1174282743 · on the registry since 2021
Practice
- Address
- 1011 Meadowlands Dr
White Bear Lake, MN 55127 - Phone
- (612) 315-1976
- Organisation at this address
- Rhivive Physical Therapy
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 118
Registry record
- Primary taxonomy
- 247200000X
247200000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-12
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