Individual
ANNIKA MARIE THEURER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8939 JASMINE LN S, COTTAGE GROVE, MN 55016-3422
(651) 200-5772
Mailing address
8939 JASMINE LN S, COTTAGE GROVE, MN 55016-3422
(651) 200-5772
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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