Individual
BETHANY WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
251 MINER ST N, GOOD THUNDER, MN 56037-9726
(507) 381-8275
Mailing address
251 MINER ST N, GOOD THUNDER, MN 56037-9726
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/21/2017
Last updated
08/18/2017
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