Individual
ALEXIS JADE PETITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 5TH ST NE, HINCKLEY, MN 55037-3784
(320) 405-8397
Mailing address
114 5TH ST NE, HINCKLEY, MN 55037-3784
(320) 405-8397
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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