Individual
EMILIANO GRANADOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSCS
Contact information
Practice address
615 13TH AVE N, SOUTH ST PAUL, MN 55075-1627
(651) 402-7213
Mailing address
615 13TH AVE N, SOUTH ST PAUL, MN 55075-1627
(651) 402-7213
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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