Individual
SUMMER EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
209 ELM ST NE, LONSDALE, MN 55046-3307
(507) 412-0945
Mailing address
209 ELM ST NE, LONSDALE, MN 55046-3307
(507) 412-0945
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2851
MN
Other
Enumeration date
04/25/2017
Last updated
05/05/2022
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