Individual
KELSEY HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
139 MEMORIAL HALL, WINONA, MN 55987-5598
(605) 770-7364
(605) 770-7364
Mailing address
4960 SERVICE DR APT 102, GOODVIEW, MN 55987-1666
(605) 770-7364
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2534
MN
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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