Ronni Kaye Beatty-Kollasch, ATC
Specialist/Technologist, Athletic Trainer in Minneapolis, MN. Individual provider (NPI-1).
NPI number1174563894
StatusActive
Last updated in NPPESJul 27, 2012
Details
- NPI
- 1174563894
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Ronni Kaye Beatty-Kollasch
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2006
- Last updated
- Jul 27, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 1926 | MN | Yes |
Practice location
Bierman Field Athletic Building516 - 15th Avenue Se
Minneapolis, MN 55455
Phone 612-625-5845 · Fax 612-626-7748
Mailing address
14969 77th Ln NeOtsego, MN 55330-6921
Phone 612-741-6007 · Fax 612-626-7748
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