NPI 1578801346

Jackie Lynn Hawkinson, SPTA

Practitioner Student in an Organized Health Care Education/Training Program Saint Louis Park, MN

Practice location

Address: 6008 Goodrich Ave, Saint Louis Park, MN 55416-2425
Phone: (612) 578-0502

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X Licence G087026331215 (MN)

Other Student in an Organized Health Care Education/Training Program providers in Minnesota →

Registry record

NPI: 1578801346
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jan 2013
Record last updated: 29 Jan 2013

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.