Individual
MRS. BETH MARIE SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
111 17TH AVE E, SUITE 101, ALEXANDRIA, MN 56308-5273
(320) 304-4670
Mailing address
213 N MAIN ST, UPSALA, MN 56384-8400
(320) 630-6030
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2240
MN
Other
Enumeration date
02/18/2013
Last updated
03/23/2015
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