Teddy Ray Gildersleeve

NPI #1851906887 in Lindstrom, Minnesota

Provider Information

NPI Number
1851906887
Entity Type
Individual
Name
Teddy Ray Gildersleeve
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Sep 15, 2020
Last Updated
Sep 15, 2020

Practice Location

Address
37320 ORIOLE AVE
ZIP Code
55045-9109
Phone
(715) 501-0047

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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