Individual
AFTON WACHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, CSCS
Contact information
Practice address
1705 SE BROADWAY AVE, ALBERT LEA, MN 56007-3265
(507) 377-5900
Mailing address
1705 SE BROADWAY AVE, ALBERT LEA, MN 56007-3265
(507) 377-5900
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1903
MN
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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