Thomas A. Olson LAT, ATC
Athletic Trainer in Saint Paul, MN(View on Map)
Full Name
Thomas Anthony Olson LAT, ATC
NPI Number
1942743950
NPI Type
Individual Provider
Gender
Male
Enumeration Date
11/22/2016
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
1591 106TH AVE NW
2115 SUMMIT AVE
City
Coon Rapids
Saint Paul
State
MN
MN
Postal Code
55433-6308
55105-1096
Country
US
US
Telephone Number
(612) 968-5133
(612) 968-5133
Identifiers
Identifier
2000028350
3105
Identifier State
Unknown
MN
Identifier Issuer
NATA BOARD OF CERTIFICATION
MINNESOTA STATE LICENSURE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/31/2022