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Contact Information

KRYSTAL AVERITT
6500 EXCELSIOR BLVD
SAINT LOUIS PARK, MN55426-4702
 Phone: 952-993-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation Practitioner

225400000X
Indicates primary specialty

NPI Profile & details for KRYSTAL AVERITT · (Female)

NPI Number 1083880553
Status Active
Credentials
Entity Individual
Enumeration date 05/05/2008
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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