NPI 1265968820

Everett Fandrich

Practitioner Athletic Trainer Alexandria, MN

Practice location

Address: 6118 County Road 82 NW, Alexandria, MN 56308-8213
Phone: (320) 815-1540

Registered specialties (2)

Athletic Trainer Primary

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

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1265968820
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 May 2017
Record last updated: 2 May 2017

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.