| NPI | 1508237025 |
|---|---|
| Former Name | KAITLIN FREIENMUTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 135847) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 9521) |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2021-12-02 |