TIMOTHY C. HATLESTAD

SAINT PAUL, MN
NPI1871633032
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  4953)
Enumeration Date2007-02-07
Last Update Date2007-07-08
Business Address
-- TIMOTHY C. HATLESTAD PT
401 PHALEN BLVD
SAINT PAUL, MN 55101-5302
Phone number: 651-254-7723
Mailing Address
-- TIMOTHY C. HATLESTAD PT
6947 WYNDHAM BAY
WOODBURY, MN 55125-2766
Phone number: 651-731-5849