Individual
KELLIE RIEDL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC CSCS
Contact information
Practice address
135 MYERS FIELDHOUSE, MANKATO, MN 56001-6171
(507) 381-0450
Mailing address
417 THOMAS DRIVE, EAGLE LAKE, MN 56024
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1975
MN
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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