Individual
KATHLEEN M TABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., ATC
Contact information
Practice address
600 HENNEPIN AVE, SUITE 310, MINNEAPOLIS, MN 55403-1816
(612) 750-3524
Mailing address
600 HENNEPIN AVE, SUITE 310, MINNEAPOLIS, MN 55403-1816
(612) 750-3524
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2185
MN
Other
Enumeration date
02/16/2013
Last updated
01/08/2021
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