| Doctor Name: | MS. JACQUELINE KAY HARRY |
| NPI Number: | 1033266333 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 4220 |
| Business Practice Address: | Medcentra, 225 N. Smith Ave Suite 301 St. Paul, MN - 55102 |
| Business Phone Number: | 6512885180 |
| Business Fax Number: | |
| Mailing Address: | 4305 Columbus Ave, MINNEAPOLIS |
| State: | MN |
| Postal Code: | 554073116 |
| Phone Number: | 6128233296 |
| Fax Number: | |
| NPI Enumeration Date: | 01/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251G0304X |
| License Number: | 4220 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Geriatrics |
| Taxonomy Definition: | |