JUSTIN L STAKER

WINONA, MN
NPI1700838810
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  7647)
Enumeration Date2006-05-17
Last Update Date2007-07-08
Business Address
-- JUSTIN L STAKER PT
111 RIVERFRONT
WINONA, MN 55987-3456
Phone number: 507-454-8700
Mailing Address
-- JUSTIN L STAKER PT
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300