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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE ANNMARIE KOTASKA

Active

NICOLE ANNMARIE KOTASKA is a Mechanotherapist healthcare provider located in SAINT FRANCIS, Minnesota. NPI 1700154689 is currently active in the NPPES registry. Verify at CMS.

Mechanotherapist · SAINT FRANCIS, MN

Registration Details

NPI Number
1700154689
Provider Type
Individual
Gender
Female
NPI Issued
Dec 7, 2011 (14.695486432742 yrs)
Last Updated
Dec 7, 2011
License
301 (MN)

Practice Information

Address
3220 BRIDGE ST NW
#111
SAINT FRANCIS, MN, 550708632
Browse MN providers · Browse ZIP 55070
Phone
6122406601
Primary Specialty
Mechanotherapist
172M00000X
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.