Individual
MR. AARON LAWRENCE GROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
1750 105TH AVE. NE, SCHWAN CENTER, BLAINE, MN 55449
(763) 780-0356
(763) 780-0694
Mailing address
11220 NEVADA AVE N, CHAMPLIN, MN 55316-3353
(763) 226-8138
(763) 780-0694
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1806
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040002080
NATA CERTIFICATION
MN
01
—
1806
ATHLETIC TRAINER RESGISTR
MN
Enumeration date
07/27/2006
Last updated
03/26/2015
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