Male or Other

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)

Code

2255A2300X

Primary Taxonomy

Yes

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

Provider Address

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