Individual
CHANAH LEE BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 993-9607
Mailing address
715 11TH ST N, MOUNTAIN LAKE, MN 56159-1013
(507) 822-3829
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3508
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/03/2018
Last updated
01/27/2024
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