BLAKE DEIST

ROSEVILLE, MN
NPI1568800571
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2013-06-12
Last Update Date2014-09-10
Business Address
-- BLAKE DEIST DPT
3050 CENTRE POINTE DR STE 200
ROSEVILLE, MN 55113-1179
Phone number: 888-974-6636
Mailing Address
-- BLAKE DEIST DPT
7414 W 22ND ST APT 302
SAINT LOUIS PARK, MN 55426-2641
Phone number:
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