Individual
MS. HEIDI ALLISON WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
516 15TH AVE SE, MINNEAPOLIS, MN 55455-0120
(612) 626-4688
Mailing address
50207 300TH TRL, RUSSELL, IA 50238-7595
(952) 836-6349
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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