Michaelen Elise Sundstrom
Physical Therapist in Saint Paul, MN. Individual provider (NPI-1).
NPI number1376904698
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1376904698
- Entity type
- Individual (NPI-1)
- Name
- Michaelen Elise Sundstrom
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2016
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 10024 | MN | Yes |
Practice location
435 Phalen BlvdSaint Paul, MN 55130-5302
Phone 651-254-3200
Mailing address
1710 Suburban AveSaint Paul, MN 55106-6636
Phone 651-254-3200
Other practice locations
1710 Suburban Ave
Saint Paul, MN 55106-6636
Saint Paul, MN 55106-6636
Phone 651-254-3200
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All 334 Physical Therapist providers in Saint Paul · All 12,912 providers in Saint Paul
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