Individual
KELSEY K LABODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
901 8TH ST S, MOORHEAD, MN 56562-0001
(701) 490-0552
Mailing address
5001 AMBER VALLEY PKWY S APT 306, FARGO, ND 58104-8686
(701) 490-0552
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000025626
BOC NUMBER
—
Enumeration date
03/27/2018
Last updated
03/27/2018
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