Troy David Banse, ATC Valid NPI

Individual provider · Athletic Trainer · Saint Peter, MN

NPI

1518072453

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

1769 (MN)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-08-20

Last updated

2007-07-08