Mary Jund, ATC, LATC
Individual provider Active NPI Athletic Trainer · Anamoose, ND
NPI 1427460765 · NPPES record last updated May 21, 2014
Key facts
- NPI
- 1427460765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 122662 (ND)
- Practice address
- 3 Avenue B E
Anamoose, ND 58710-4014 - Phone
- (701) 625-1080
- NPI assigned
- May 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122662 | ND | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 122662 | ND | Yes |
Addresses
Primary practice location
3 Avenue B E
Anamoose, ND 58710-4014
Mailing address
3 Avenue B E
Anamoose, ND 58710-4014
Other providers in Anamoose, ND
All providers in Anamoose, ND · Athletic Trainer in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2014. 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.