Individual
PAIGE BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
149 JAMES AVE # B, MANKATO, MN 56001-3925
(715) 309-8205
Mailing address
149 JAMES AVE # B, MANKATO, MN 56001-3925
(715) 309-8205
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2255A2300X
—
MN
Enumeration date
01/20/2021
Last updated
01/20/2021
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