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Theresa Balloy
NPI 1669253308 · on the registry since 2023
Practice
- Address
- 2540 Onyx Dr
Shakopee, MN 55379 - Phone
- (743) 913-1658
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-09
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