Individual
AMANDA LEVALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 AMERICAN BLVD W, BLOOMINGTON, MN 55431-4420
(952) 977-0459
Mailing address
3045 MARYLAND AVE S, SAINT LOUIS PARK, MN 55426-3212
(320) 249-9631
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2366
MN
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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