Individual
BOBBY JOE KNODEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS ATC
Contact information
Practice address
N UNIVERSITY DR AT 17TH AVE N, BISON SPORTS ARENA, FARGO, ND 58105
(701) 231-6492
(701) 231-5189
Mailing address
4143 52ND ST S, FARGO, ND 58104-4251
(701) 367-2785
(701) 231-5189
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
286-04
ND
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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