Individual
KAYLIE RAE BELLRICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 7TH ST NW, AUSTIN, MN 55912-1833
(507) 440-1904
Mailing address
1405 7TH ST NW, AUSTIN, MN 55912-1833
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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