LISA MARIE BOBERG

BLOOMINGTON, MN
NPI1629512124
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN  2053)
Enumeration Date2016-12-19
Last Update Date2016-12-19
Business Address
Mrs. LISA MARIE BOBERG ATC
8100 NORTHLAND DR
BLOOMINGTON, MN 55431-4800
Phone number: 952-831-8742
Mailing Address
Mrs. LISA MARIE BOBERG ATC
7105 RIVERVIEW TER NE
FRIDLEY, MN 55432-3046
Phone number: 608-332-8400