Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY JOHN, ATC, OTC
ActiveSTACEY JOHN, ATC, OTC is a Athletic Trainer healthcare provider located in VADNAIS HEIGHTS, Minnesota. NPI 1144634601 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · VADNAIS HEIGHTS, MN
Registration Details
- NPI Number
- 1144634601
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 12, 2014 (12.200431997889 yrs)
- Last Updated
- Jan 29, 2020
- Licenses
-
18-2775 (MN)2280 (MN)
Practice Information
- Address
-
3580 ARCADE STVADNAIS HEIGHTS, MN, 551277135Browse MN providers · Browse ZIP 55127
- Phone
- 6519685375
- Fax
- 6519685907
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in VADNAIS HEIGHTS, MN
| Name | Credential | NPI |
|---|---|---|
| MISS KELLY NICOLE RICKE | MA, ATC | 1154935435 |
| CAITLIN BROBERG | — | 1477134716 |
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.