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Emilie Anne Benick, ATC

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

NPI number1053720367
StatusActive
Last updated in NPPESAug 12, 2014

Details

NPI
1053720367
Entity type
Individual (NPI-1)
Name
Ms. Emilie Anne Benick
Credential
ATC
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 12, 2014
Last updated
Aug 12, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer2497MNYes

Practice location

516 15th Ave Se
Minneapolis, MN 55455-0130

Phone 612-384-9847

Mailing address

516 15th Ave Se
Minneapolis, MN 55455-0130

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