Individual
DANIEL HAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
2842 90TH LN NE, BLAINE, MN 55449-5029
(612) 770-8467
Mailing address
5100 S GRAYSTONE AVE UNIT 420, SIOUX FALLS, SD 57108-7555
(612) 770-8467
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3569
MN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/10/2016
Last updated
04/19/2022
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