Isaac Holter

NPI #1508456930 in Eagle Lake, Minnesota

Provider Information

NPI Number: 1508456930
Entity Type: Individual
Name: Isaac Holter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 20, 2021
Last Updated: Jan 20, 2021

Practice Location

Address: 103 WANGEN PATH
City: Eagle Lake
State: Minnesota
ZIP Code: 56024-3700
Phone: (701) 740-5229

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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