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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

NPI # 1326308065
LBN Legal business name GLOBAL ATHLETE VILLAGE
Authorized official STEPHANIE SMITH - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/28/2012
Last updated 05/28/2012 - About 14 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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