Individual
BREANNA BATDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSAT
Contact information
Practice address
1825 WOODWINDS DR, WOODBURY, MN 55125-2202
(651) 232-6700
Mailing address
526 5TH ST, CHENEY, WA 99004-1619
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2021
Last updated
06/24/2024
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