Individual
SERENA TICHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7872 CENTURY BLVD, CHANHASSEN, MN 55317-8005
(952) 448-9081
Mailing address
7872 CENTURY BLVD, CHANHASSEN, MN 55317-8005
(952) 448-9081
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2211
MN
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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