Individual
MR. ANDREW COHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
516 15TH AVE SE, ROOM 190, MINNEAPOLIS, MN 55455-0130
(217) 821-6798
Mailing address
2432 1ST AVE S APT 103, MINNEAPOLIS, MN 55404-3422
(217) 821-6798
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2594
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000012094
NATA BOC
—
01
—
2594
MINNESOTA BOARD OF MEDICAL PRACTICE REGISTRATION NUMBER
MN
Enumeration date
11/26/2014
Last updated
11/26/2014
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