IndividualActive
Austen Wollenburg, ATC
NPI 1619322203 · Athletic Trainer · Sartell, MN
Provider details
- NPI number
- 1619322203
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1901 Connecticut Ave S
Sartell, MN 56377-2554
Phone: (320) 259-4100
Approximate (ZIP-level) locationGet directions
Mailing address
1901 Connecticut Ave S
Sartell, MN 56377-2554
Registry dates
- Enumerated
- 2016-05-02
- Last updated
- 2016-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.