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Koichi Sato, ATC

Specialist/Technologist, Athletic Trainer in Minneapolis, MN. Individual provider (NPI-1).

NPI number1003203050
StatusActive
Last updated in NPPESApr 16, 2015

Details

NPI
1003203050
Entity type
Individual (NPI-1)
Name
Mr. Koichi Sato
Credential
ATC
Sex
Male
Sole proprietor
No
Enumeration date
Apr 16, 2015
Last updated
Apr 16, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer2561MNYes

Practice location

600 1st Ave N
Minneapolis, MN 55403-1400

Phone 612-673-1600

Mailing address

600 1st Ave N
Minneapolis, MN 55403-1400

Phone 612-673-1600

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