Whalio Doctors

NPI 1104890904

Steven James Ahlvers, ATC

Practitioner Athletic Trainer Edina, MN

Practice location

Address
4010 W 65th St, Edina, MN 55435-1706
Phone
(651) 210-8696
Mailing address
9815 Upper 205th St W, Lakeville, MN 55044-5934

Registered specialties

Athletic Trainer Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 1419 (MN)

Registry record

NPI
1104890904
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Feb 2006
Record last updated
10 Oct 2012

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.