Nowacki, Kelly Jean

Nowacki, Kelly Jean is an individual health care provider with primary practice located at 720 9Th Ave Mawseco , Howard Lake MN 55349. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Nowacki, Kelly Jean can be contacted via phone (320) 543-1122.

Contact Information

Primary practice address
720 9Th Ave Mawseco Howard Lake MN 55349
Phone: (320) 543-1122
Fax: (952) 476-0218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 7213 Minnesota

Profile Details

NPI number 1265451090
LBN Legal business name Nowacki, Kelly Jean
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated May 14th, 2026 - about 6 months 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 1265451090 NPPES
Minnesota MEDICAID 044955500

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