Individual
AMY HUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5803 NEAL AVE N, OAK PARK HEIGHTS, MN 55082-2177
(651) 439-8807
Mailing address
390 PAQUIN DR, SOMERSET, WI 54025-7586
(651) 210-1575
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1470
MN
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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