Mitchell Bockenstedt, ATC
Specialist/Technologist, Athletic Trainer in Minneapolis, MN. Individual provider (NPI-1).
NPI number1609920834
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1609920834
- Entity type
- Individual (NPI-1)
- Name
- Mitchell Bockenstedt
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
516 15th Ave SeMinneapolis, MN 55455-0130
Phone 612-625-2827
Mailing address
1619 Carl StApartment 5b
Saint Paul, MN 55108-1244
Phone 319-504-6099
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All 92 Athletic Trainer providers in Minneapolis · All 27,202 providers in Minneapolis
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