Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kennedy Mariah Holwerda, ATC

Individual provider Athletic Trainer · NPI 1205346566

Kennedy Mariah Holwerda, ATC is an Athletic Trainer in Willmar, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2017
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

400 Olena Ave
Willmar, MN 56201-4538
Phone: (320) 444-8903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (MN)

Record details

NPI number1205346566
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorYes
NPI enumeratedOctober 1, 2017
Last updated in NPPESOctober 1, 2017

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