KRISTA KELLY PETERSEN

EDINA, MN
NPI1821668245
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MN  8918)
Enumeration Date2021-06-28
Last Update Date2021-06-28
Business Address
KRISTA KELLY PETERSEN
6200 XERXES AVE S
EDINA, MN 55423-1033
Phone number: 952-925-8500
Mailing Address
KRISTA KELLY PETERSEN
104 FAIRWAY DR
GLENCOE, MN 55336-3214
Phone number: 952-465-7636