NPI 1497143994
Maribeth Honomichl, AT
Practice location
- Address
- 2104 Northdale Blvd NW 100, Coon Rapids, MN 55433-3028
- Phone
- (763) 767-7107
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1497143994
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Jan 2015
- Record last updated
- 6 Jan 2015
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.