Katherine Marie Kalliomaa, PTA
Individual provider Active NPI Physical Therapy Assistant · Annandale, MN
NPI 1548870348 · NPPES record last updated Aug 6, 2020
Key facts
- NPI
- 1548870348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A2453 (MN)
- Practice address
- 500 Park St E
Annandale, MN 55302-3060 - Phone
- (320) 274-3737
- NPI assigned
- Aug 6, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A2453 | MN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A2453 | MN | Yes |
Addresses
Primary practice location
500 Park St E
Annandale, MN 55302-3060
Mailing address
1875 Pine Cone Rd S
325
St Cloud, MN 56303
Phone (763) 443-8120
Other practice location 1
2301 Connecticut Ave S
Sartell, MN 56377-2474
Phone (320) 229-1500
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | katiekalliomaa@ippmc.com | Direct | |
| Direct Messaging Address | katiekalliomaa@ippmc.com | Direct |
Other providers in Annandale, MN
- Jeffrey Nelson Holmberg
- Cynthia Ann Jensen
- Craig Steven Johnson
- Mark Steven Johnson
- Matthew Johnson
- Bruce Robert Karg
- Ann Kent
- Charles David Kent
- Jessica Lea Kirchoff
- Leah Lackas
All providers in Annandale, MN · Physical Therapy Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.