NPI 1053767426

Michael Olson

Practitioner Athletic Trainer Norfolk, VA

Practice location

Address: Jim Jarrett Athletic Admin Building, Norfolk, VA 23529-0001
Phone: (757) 683-3397
Mailing address: 1109 1st St SE, Faribault, MN 55021-6463

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0126002421 (VA)

Other Specialist/Technologist providers in Virginia →

Registry record

NPI: 1053767426
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 May 2016
Record last updated: 4 May 2016

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.