Individual
MS. HEATHER FAHSL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1901 CONNECTICUT AVE S, SARTELL, MN 56377-2554
(320) 259-4100
Mailing address
8310 116TH ST SE, CLEAR LAKE, MN 55319-9623
(320) 266-7887
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2598
MN
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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