Doctor Name: | KIRSTEN LEE DESMARAIS |
NPI Number: | 1730434267 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 9075 |
Business Practice Address: | 4855 W Arrowhead Rd Essentia Health Hermantown Clinic Hermantown, MN - 558113936 |
Business Phone Number: | 2187863540 |
Business Fax Number: | |
Mailing Address: | 4855 W Arrowhead Rd, Essentia Health Hermantown Clinic HERMANTOWN |
State: | MN |
Postal Code: | 558113936 |
Phone Number: | 2187863540 |
Fax Number: | |
NPI Enumeration Date: | 07/20/2012 |
NPI Last Update Date: | 10/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 9075 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |