Seth Ellanson
NPI #1245684513 in Lake Crystal, Minnesota
Provider Information
- NPI Number
- 1245684513
- Entity Type
- Individual
- Name
- Seth Ellanson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Apr 22, 2016
- Last Updated
- Apr 22, 2016
Practice Location
- Address
- 29 CATHERINE LN
- City
- Lake Crystal
- State
- Minnesota
- ZIP Code
- 56055-2015
- Phone
- (507) 995-7794
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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