Duane C Malo, LAT
Specialist/Technologist, Athletic Trainer in Alexandria, MN. Individual provider (NPI-1).
NPI number1013604792
StatusActive
Last updated in NPPESApr 21, 2023
Details
- NPI
- 1013604792
- Entity type
- Individual (NPI-1)
- Name
- Mr. Duane C Malo
- Credential
- LAT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 21, 2023
- Certification date
- Apr 21, 2023
- Last updated
- Apr 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | MN | Yes |
Practice location
111 17th Ave E Ste 101Alexandria, MN 56308-5274
Phone 320-762-1144
Mailing address
1880 10th Ave E Apt 217Alexandria, MN 56308-2719
Phone 773-251-0095
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All 27 Athletic Trainer providers in Alexandria · All 1,002 providers in Alexandria
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