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Averie Breeana Barrett, ATC

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

NPI number1790145274
StatusActive
Last updated in NPPESFeb 26, 2016

Details

NPI
1790145274
Entity type
Individual (NPI-1)
Name
Mrs. Averie Breeana Barrett
Credential
ATC
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 26, 2016
Last updated
Feb 26, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer2227MNYes

Practice location

210 Weaver St
Mankato, MN 56001-4663

Phone 507-469-2291

Mailing address

210 Weaver St
Mankato, MN 56001-4663

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