NPI 1437202884

Jeffrey Todd Johnson, ATC

Practitioner Athletic Trainer Saint Cloud, MN

Practice location

Address: 720 4th Ave S 214 Halenbeck Hall, Saint Cloud, MN 56301-4442
Phone: (320) 308-2503
Mailing address: 332 Riverside Dr NE, Saint Cloud, MN 56304-0345

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 1088 (MN)

Other Specialist/Technologist providers in Minnesota →

Registry record

NPI: 1437202884
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jan 2007
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.