Individual
COURTNEY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
901 8TH ST S, MOORHEAD, MN 56562-0001
(605) 730-0502
Mailing address
2620 14TH ST S APT 14A, FARGO, ND 58103-6910
(605) 730-0502
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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