NPI 1689954455

Serena Tichy, ATC

Practitioner Athletic Trainer Chanhassen, MN

Practice location

Address: 7872 Century Blvd, Chanhassen, MN 55317-8005
Phone: (952) 448-9081

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2211 (MN)

Other Specialist/Technologist providers in Minnesota →

Registry record

NPI: 1689954455
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Aug 2011
Record last updated: 24 Aug 2011

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.