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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. NATHAN MICHAEL TELLERS, ATC

Active

MR. NATHAN MICHAEL TELLERS, ATC is a Athletic Trainer healthcare provider located in ST BONIFACIUS, Minnesota. NPI 1922092675 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · ST BONIFACIUS, MN

Registration Details

NPI Number
1922092675
Provider Type
Individual
Gender
Male
NPI Issued
Sep 8, 2005 (20.750773116884 yrs)
Last Updated
Jul 8, 2007
License
1745 (MN)

Practice Information

Address
4246 SPRUCE RD
ST BONIFACIUS, MN, 553751315
Browse MN providers · Browse ZIP 55375
Phone
9524671915
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in ST BONIFACIUS, MN

Name Credential NPI
SAVANNAH BORGES MS, LAT, ATC 1760920672
KAREN MOBERG M.ED, ATC 1841754389
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.