Nathan James Burns, ATC

Individual provider Active NPI Athletic Trainer · Marshall, MN

NPI 1376570945 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1376570945
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
1501 State St
Marshall, MN 56258-3306
Phone
(507) 537-7091
NPI assigned
Jun 27, 2006
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)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X MN Yes

Addresses

Primary practice location

1501 State St
Marshall, MN 56258-3306

Mailing address

1128 David Dr
Marshall, MN 56258-3406

Other providers in Marshall, MN

All providers in Marshall, MN · Athletic Trainer in Minnesota

Sources for this page

Verify at the official NPI Registry.