Individual
MARGARET ANNE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
800 W COLLEGE AVE, SAINT PETER, MN 56082-1485
(909) 680-0076
Mailing address
201 PARK ROW APT 208, SAINT PETER, MN 56082-2000
(909) 680-0076
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3432
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/19/2018
Last updated
03/04/2021
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