Individual provider · Type 1 NPI
Isaac Holter
Student in an Organized Health Care Education/Training Program · Eagle Lake, MN
NPI number
1508456930
Active
Practice location
103 Wangen Path
Eagle Lake, MN 56024-3700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1508456930
Isaac Holter's National Provider Identifier is 1508456930, issued on Jan 20, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Eagle Lake, MN. The record was last updated on Jan 20, 2021.