Individual
ANNA HENTGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 KENWOOD AVE, DULUTH, MN 55811-4199
(218) 723-5960
Mailing address
1200 KENWOOD AVE, DULUTH, MN 55811-4199
(218) 723-5960
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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