Individual
MS. BETHANY RAE CLUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
8100 NORTHLAND DR, MINNEAPOLIS, MN 55431-4800
(701) 720-5060
Mailing address
2150 CLIFF RD E, APT. B321, BURNSVILLE, MN 55337-1351
(701) 720-5060
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2471
MN
Other
Enumeration date
01/27/2010
Last updated
04/01/2015
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