NPI 1013604792

Duane C Malo, LAT

Practitioner Athletic Trainer Alexandria, MN

Practice location

Address: 111 17th Ave E STE 101, Alexandria, MN 56308-5274
Phone: (320) 762-1144
Mailing address: 1880 10th Ave E APT 217, Alexandria, MN 56308-2719

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1013604792
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Apr 2023
Record last updated: 21 Apr 2023

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.