Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SETH ELLANSON
Active Sole ProprietorSETH ELLANSON is a Athletic Trainer healthcare provider located in LAKE CRYSTAL, Minnesota. NPI 1245684513 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LAKE CRYSTAL, MN
Registration Details
- NPI Number
- 1245684513
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 22, 2016 (10.287357172438 yrs)
- Last Updated
- Apr 22, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
29 CATHERINE LNLAKE CRYSTAL, MN, 560552015Browse MN providers · Browse ZIP 56055
- Phone
- 5079957794
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.