Individual
KAYCE GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1705 105TH AVE NE, SUITE 102, BLAINE, MN 55449
(651) 425-0818
Mailing address
5891 RICE CREEK PKWY UNIT 433, SHOREVIEW, MN 55126-4419
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2713
MN
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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