Aaron Lawrence Groth, ATC, CSCS
Specialist/Technologist, Athletic Trainer in Blaine, MN. Individual provider (NPI-1).
NPI number1891719191
StatusActive
Last updated in NPPESMar 26, 2015
Details
- NPI
- 1891719191
- Entity type
- Individual (NPI-1)
- Name
- Mr. Aaron Lawrence Groth
- Credential
- ATC, CSCS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 27, 2006
- Last updated
- Mar 26, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 1806 | MN | Yes |
Practice location
1750 105th Ave. NeSchwan Center
Blaine, MN 55449
Phone 763-780-0356 · Fax 763-780-0694
Mailing address
11220 Nevada Ave NChamplin, MN 55316-3353
Phone 763-226-8138 · Fax 763-780-0694
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