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Kaitlen Gullicksrud, ATC/R
NPI 1841649290 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1151 Transit Ave
Roseville, MN 55113 - Phone
- (715) 379-0408
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-06-07
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