Ackerman, Kelly Elaine

Ackerman, Kelly Elaine is an sole proprietor health care provider with primary practice located at 203 Cooper Ave N Ste 160 , Saint Cloud MN 56303-4418. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Ackerman, Kelly Elaine can be contacted via phone (320) 309-7284.

Contact Information

Primary practice address
203 Cooper Ave N Ste 160 Saint Cloud MN 56303-4418
Phone: (320) 309-7284
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X Minnesota

Profile Details

NPI number 1437627353
LBN Legal business name Ackerman, Kelly Elaine
Credentials CMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2018
Last updated Nov 8th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437627353 NPPES
Minnesota MEDICAID 20-1889495

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