JONATHAN SEVERSON

BAXTER, MN
NPI1215318670
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  9939)
Enumeration Date2015-06-11
Last Update Date2015-06-11
Business Address
-- JONATHAN SEVERSON
14884 KIRKWOOD DR
BAXTER, MN 56425-8451
Phone number: 218-824-5027
Mailing Address
-- JONATHAN SEVERSON
26 2ND ST NW
CROSBY, MN 56441-1428
Phone number: