Individual
TREVOR WEIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 217TH AVE NE, EAST BETHEL, MN 55011-9124
(612) 695-2301
Mailing address
333 217TH AVE NE, EAST BETHEL, MN 55011-9124
(612) 695-2301
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
MN
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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