MARYKAY HERUTH

MAPLE GROVE, MN
NPI1134182504
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  806)
Enumeration Date2006-04-07
Last Update Date2007-07-08
Business Address
-- MARYKAY HERUTH PT
13986 MAPLE KNOLL WAY
MAPLE GROVE, MN 55369-4655
Phone number: 763-236-0200
Mailing Address
-- MARYKAY HERUTH PT
PO BOX 43 MR 10809
MINNEAPOLIS, MN 55440-0043
Phone number: 612-262-4813