Eric Michael Drake, ATC
Specialist/Technologist, Athletic Trainer in Edina, MN. Individual provider (NPI-1).
NPI number1497877005
StatusActive
Last updated in NPPESDec 29, 2011
Details
- NPI
- 1497877005
- Entity type
- Individual (NPI-1)
- Name
- Mr. Eric Michael Drake
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 4, 2007
- Last updated
- Dec 29, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 1921 | MN | Yes |
Practice location
8100 W 78th StEdina, MN 55439-2516
Phone 952-946-9777 · Fax 952-946-9888
Mailing address
9734 Saint Andrews DrElko, MN 55020-9630
Phone 651-357-5117 · Fax 952-946-9888
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