Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARDON ELLEN SO
ActiveMARDON ELLEN SO is a Physical Therapy Assistant healthcare provider located in GRAND MARAIS, Minnesota. NPI 1063238095 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · GRAND MARAIS, MN
Registration Details
- NPI Number
- 1063238095
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 25, 2024 (1.7187470163742 yrs)
- Last Updated
- Nov 25, 2024
- License
-
13275 (MN)
Practice Information
- Address
-
515 5TH AVE WGRAND MARAIS, MN, 556043017Browse MN providers · Browse ZIP 55604
- Phone
- 2183873040
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in GRAND MARAIS, MN
| Name | Credential | NPI |
|---|---|---|
| MS. REBECCA SUE STONER | P.T. | 1639353386 |
| ELIZABETH BARBARA STECKELBERG | PT, DPT | 1225383565 |
| KELSEY SALADIN ONEIL | DPT | 1891466553 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.