| NPI | 1821421546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN COLLIN Athletic Trainer 952-512-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MN 2365) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2013-08-16 |