Individual
MEAGAN O'GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
11850 BLACKFOOT ST NW, MINNEAPOLIS, MN 55433-2578
(763) 236-0800
Mailing address
11850 BLACKFOOT ST NW, MINNEAPOLIS, MN 55433-2578
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096.003832
IL
2255A2300X
Athletic Trainer
2601001780
MI
2255A2300X
Athletic Trainer
Primary
2954
MN
Other
Enumeration date
10/22/2014
Last updated
07/16/2017
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