Individual
RACHEL ANN MAZZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATR, ATC
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(676) 612-5052
Mailing address
1555 SELBY AVE APT 336, SAINT PAUL, MN 55104-3943
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2000028773
—
2255A2300X
Athletic Trainer
Primary
2990
MN
Other
Enumeration date
05/23/2017
Last updated
03/17/2018
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