Individual
ASHLEY MARIE HEROLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2089 PHEASANT RUN ST, SHAKOPEE, MN 55379-4353
(612) 919-7111
Mailing address
2089 PHEASANT RUN ST, SHAKOPEE, MN 55379-4353
(612) 919-7111
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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