Individual
MRS. RONNI KAYE BEATTY-KOLLASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
BIERMAN FIELD ATHLETIC BUILDING, 516 - 15TH AVENUE SE, MINNEAPOLIS, MN 55455
(612) 625-5845
(612) 626-7748
Mailing address
14969 77TH LN NE, OTSEGO, MN 55330-6921
(612) 741-6007
(612) 626-7748
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1926
MN
Other
Enumeration date
06/08/2006
Last updated
07/27/2012
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