Individual
EMMA NICOLE GNOTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
34693 RAINWATER CT, FRONTENAC, MN 55026-1081
(651) 301-5677
Mailing address
34693 RAINWATER CT, FRONTENAC, MN 55026-1081
(651) 301-5677
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/26/2018
Last updated
12/21/2020
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