Individual
CODY GROTEWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
2805 CAMPUS DR STE 465, PLYMOUTH, MN 55441-2680
(952) 946-9777
Mailing address
2805 CAMPUS DR STE 465, PLYMOUTH, MN 55441-2680
(952) 946-9777
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3346
MN
Other
Enumeration date
05/12/2017
Last updated
04/29/2025
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