Individual
KATELYN BERENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1556 SPRING LAKE CIR, JORDAN, MN 55352-9203
(952) 261-4924
Mailing address
1556 SPRING LAKE CIR, JORDAN, MN 55352-9203
(952) 261-4924
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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