NPI 1093008567

Amy Johanek, ATC

Practitioner Athletic Trainer Alexandria, MN

Practice location

Address: 111 17th Ave E STE 101, Alexandria, MN 56308-3734
Phone: (320) 250-7703

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2248 (MN)

Other Specialist/Technologist providers in Minnesota →

Registry record

NPI: 1093008567
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 May 2011
Record last updated: 29 Feb 2012

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.