Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE DIFFERDING
ActiveJESSE DIFFERDING is a Athletic Trainer healthcare provider located in BRECKENRIDGE, Minnesota. NPI 1013456292 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BRECKENRIDGE, MN
Registration Details
- NPI Number
- 1013456292
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 21, 2017 (9.4363645895727 yrs)
- Last Updated
- Feb 21, 2017
Practice Information
- Address
-
3579 US HIGHWAY 75BRECKENRIDGE, MN, 565209467Browse MN providers · Browse ZIP 56520
- Phone
- 7014034021
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BRECKENRIDGE, MN
| Name | Credential | NPI |
|---|---|---|
| JANEY BULSON | ATC | 1194265280 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.