| NPI | 1982024808 |
|---|---|
| Former Name | KELLI MARIE BUERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 10284) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MN 2501) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2022-01-04 |