Individual
ALEXANDRIA FERN SAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 751-9746
Mailing address
12423 EDGEWATER RD NW, BEMIDJI, MN 56601-6441
(218) 779-5733
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
398-10
ND
Other
Enumeration date
07/30/2014
Last updated
10/24/2021
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