Severson, Kelly Marie
Severson, Kelly Marie is an individual health care provider with primary practice located at 1061 109Th Ave Ne Ste D , Blaine MN 55434-3847. 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. Severson, Kelly Marie can be contacted via phone (612) 203-4835.Contact Information
Primary practice address
1061 109Th Ave Ne Ste D
Blaine MN 55434-3847
Phone: (612) 203-4835
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X |
Profile Details
| NPI number | 1538486428 |
|---|---|
| LBN Legal business name | Severson, Kelly Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2010 |
| Last updated | May 1st, 2010 - about 15 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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