Individual
AMANDA KRISTINE NEFSTEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
111 17TH AVE E, SUITE 101, ALEXANDRIA, MN 56308-5273
(132) 076-2114
(320) 762-1935
Mailing address
111 17TH AVE E, SUITE 101, ALEXANDRIA, MN 56308-5273
(132) 076-2114
(320) 762-1935
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
664-14
ND
Other
Enumeration date
02/17/2015
Last updated
03/28/2017
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