Individual
KAREN LYNN SCULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
12000 ELM CREEK BLVD N, #120, MAPLE GROVE, MN 55369-7073
(763) 420-9960
Mailing address
6234 KARSTON DR NE, ALBERTVILLE, MN 55301-8737
(763) 497-0511
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1432
MN
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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