Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNEDY MARIAH HOLWERDA, ATC
Active Sole ProprietorKENNEDY MARIAH HOLWERDA, ATC is a Athletic Trainer healthcare provider located in WILLMAR, Minnesota. NPI 1205346566 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WILLMAR, MN
Registration Details
- NPI Number
- 1205346566
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 1, 2017 (8.835488786298 yrs)
- Last Updated
- Oct 1, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
400 OLENA AVEWILLMAR, MN, 562014538Browse MN providers · Browse ZIP 56201
- Phone
- 3204448903
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in WILLMAR, MN
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER RYAN HEMINOVER | ATC/R | 1225092869 |
| RODNEY WAYNE SAVIG | ATC | 1104880715 |
| MR. MATTHEW SCOTT REINERTSON | ATC, OTC | 1770630295 |
| THOMAS SCOTT BOIKE | ATC | 1316382831 |
| MIRANDA SWANSON | ATC | 1487042206 |
| JESSICA SLAVIK | — | 1821479874 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.