Individual
ANNIE THORESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7841 WAYZATA BLVD, SUITE 214, MINNEAPOLIS, MN 55426-1452
(952) 542-9333
(952) 542-0095
Mailing address
7841 WAYZATA BLVD, SUITE 214, MINNEAPOLIS, MN 55426-1452
(952) 542-9333
(952) 542-0095
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000021900
MN
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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