Timothy Obrien, LAT, ATC
NPI #1255741674 in Mayville, North Dakota
Provider Information
- NPI Number
- 1255741674
- Entity Type
- Individual
- Name
- Timothy Obrien, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC
- Enumeration Date
- May 7, 2014
- Last Updated
- May 7, 2014
Practice Location
- Address
- 330 3RD ST NE
- Address 2
- MAYVILLE STATE UIVERSITY
- City
- Mayville
- State
- North Dakota
- ZIP Code
- 58257-1217
- Phone
- (701) 788-4844
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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