KRISTINE CARRIE KVISTBERG BECKER

SHAKOPEE, MN
NPI1871587162
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN  1378)
Enumeration Date2005-09-01
Last Update Date2007-07-08
Business Address
-- KRISTINE CARRIE KVISTBERG BECKER ATC
1280 DISC DR
SHAKOPEE, MN 55379-1863
Phone number: 952-402-3480
Mailing Address
-- KRISTINE CARRIE KVISTBERG BECKER ATC
5144 38TH AVE S
MINNEAPOLIS, MN 55417-1650
Phone number: 612-721-6295