IndividualActive
Alexander Bertram, MS, LAT, ATC
NPI 1811452873 · Athletic Trainer · Moorhead, MN
Provider details
- NPI number
- 1811452873
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, LAT, ATC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1711 6th St S # 125
Moorhead, MN 56560-3438
Phone: (218) 477-2626
Approximate (ZIP-level) locationGet directions
Mailing address
1711 6th St S # 125
Moorhead, MN 56560-3438
Registry dates
- Enumerated
- 2019-02-04
- Last updated
- 2023-01-12
- Certified
- 2023-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.