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Austin Hills, ATC, LAT
NPI 1285227595 · on the registry since 2021
Practice
- Address
- 649 17th Street S
Moorhead, MN 56563 - Phone
- (320) 287-2079
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota