Search › Minnesota › 374J00000X
Alexia Pettersen, ICCE, ICBD, CLC
NPI 1528877842 · on the registry since 2025 · sole proprietor
Practice
- Address
- 2625 Pilgrim Ln N
Plymouth, MN 55441 - Phone
- (612) 998-6185
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-01
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