Individual
MRS. AVERIE BREEANA BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
210 WEAVER ST, MANKATO, MN 56001-4663
(507) 469-2291
Mailing address
210 WEAVER ST, MANKATO, MN 56001-4663
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2227
MN
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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