Individual
TSWV FENG VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAT, LAT
Contact information
Practice address
8100 W 78TH ST STE 230, EDINA, MN 55439-2570
(952) 946-9777
Mailing address
310 WILLIAMS ST, DES MOINES, IA 50317-7828
(515) 943-1007
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3808
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
IA
Other
Enumeration date
01/10/2022
Last updated
08/05/2024
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