NPI 1003987132

Jeffrey James Carlson, MEDATC

Practitioner Athletic Trainer Coon Rapids, MN

Practice location

Address: 2104 Northdale Blvd NW Suite 100, Coon Rapids, MN 55433-3005
Phone: (763) 755-5495
Mailing address: 3777 114th Ln NW, Coon Rapids, MN 55433-2607

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Minnesota →

Registry record

NPI: 1003987132
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.