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Brandon Tetrault, ATC
NPI 1659671980 · on the registry since 2010 · sole proprietor
Practice
- Address
- University Of North Dakota
1301 N Columbia Rd
Grand Forks, ND 58202 - Phone
- (701) 610-1060
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2255A2300X
- Licence states on file
- ND, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-15
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 North Dakota