Colin Heraty
Individual provider Active NPI Athletic Trainer · Wabasha, MN
NPI 1003516642 · NPPES record last updated Mar 2, 2023
Key facts
- NPI
- 1003516642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 406 Main St E
Wabasha, MN 55981-1427 - Phone
- (507) 858-5523
- NPI assigned
- Mar 2, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
406 Main St E
Wabasha, MN 55981-1427
Mailing address
406 Main St E
Wabasha, MN 55981-1427
Phone (507) 858-5523
Other providers in Wabasha, MN
- Kinsley Sara Hackman
- Marc J. Hampl
- Luke Carl Helland
- Kurt L Henn
- Tracy A Henn
- Hiawatha Valley Mental Health Center
- Hiawatha Valley Mental Health Center Inc.
- William Allen Hoffmann
- Jennifer J Hust
- John F Hust
All providers in Wabasha, MN · Athletic Trainer in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.