NPI 1033233440

Bobby Joe Knodel, MSATC

Practitioner Athletic Trainer Fargo, ND

Practice location

Address: N University Dr at 17th Ave N Bison Sports Arena, Fargo, ND 58105
Phone: (701) 231-6492
Fax: (701) 231-5189
Mailing address: 4143 52nd St S, Fargo, ND 58104-4251

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 286-04 (ND)

Other Specialist/Technologist providers in North Dakota →

Registry record

NPI: 1033233440
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Mar 2007
Record last updated: 8 Jul 2007

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.