| NPI | 1366949141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JOHN STRAKA VP For Finance & Admin 507-389-6621 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |