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Contact Information

GLOBAL ATHLETE VILLAGE
3600 W 98TH ST
BLOOMINGTON, MN55431-2746
 Phone: 952-888-4311
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Clinical Neuropsychologist

103G00000X
 

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
 

Massage Therapist

225700000X
 

Neurology

2251N0400X 65 Physical Therapist in Private Practice
 

Neurorehabilitation

225XN1300X 67 Occupational Therapist in Private Practice
 

Neuroscience

364SN0800X 89 Certified Clinical Nurse Specialist
 

Nutritionist

133N00000X
 

School

1041S0200X
 

Sports

2251S0007X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for GLOBAL ATHLETE VILLAGE · (Female)

NPI Number 1326308065
Status Active
Credentials
Entity Individual
Enumeration date 05/28/2012
Last updated 05/28/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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