NPI 1184387938

Molly Ann Vanderboom, MEDATCLATOPE

Practitioner Athletic Trainer Rochester, MN

Practice location

Address: 5155 55th St NW, Rochester, MN 55901-3855
Phone: (507) 292-7174
Mailing address: 1001 Eagle Vista Ln, Lake City, MN 55041-4413

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2668 (MN)

Other Specialist/Technologist providers in Minnesota →

Registry record

NPI: 1184387938
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Oct 2021
Record last updated: 19 Oct 2021

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.