Individual
MR. PHILLIP MICHAEL RAHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC/R
Contact information
Practice address
1000 SHUMWAY AVE, FARIBAULT, MN 55021-4400
(507) 323-0160
Mailing address
1000 SHUMWAY AVE, FARIBAULT, MN 55021-4400
(540) 514-2195
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2223
MN
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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