NPI 1013541408
Kris Lee Dutton, LATATC
Practice location
- Address
- 300 State Ave, Faribault, MN 55021-6319
- Phone
- (507) 333-3218
- Fax
- (507) 333-3259
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1013541408
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Feb 2020
- Record last updated
- 25 Feb 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.