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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