Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA DEFORREST, MA, ATC
Active Sole ProprietorJESSICA DEFORREST, MA, ATC is a Athletic Trainer healthcare provider located in ROBBINSDALE, Minnesota. NPI 1508133190 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · ROBBINSDALE, MN
Registration Details
- NPI Number
- 1508133190
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 26, 2011 (14.723594903237 yrs)
- Last Updated
- Nov 26, 2011
- License
-
1755 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4080 W BROADWAY AVE STE 300ROBBINSDALE, MN, 554225607Browse MN providers · Browse ZIP 55422
- Phone
- 6512318379
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in ROBBINSDALE, MN
| Name | Credential | NPI |
|---|---|---|
| REBECCA M STONE | ATC | 1588602817 |
| MRS. LISA MARIE PARTYKA | ATC | 1033154695 |
| SCOTT GREGORY GARDNER | ATC | 1063577880 |
| MR. CHRISTOPHER NICHOLAS THEIN | MS, ATC, EMT | 1023137825 |
| MR. SCOTT M WESTERMANN | ATC | 1588784862 |
| MATTHEW STONEBERG | MS, ATC | 1760503346 |
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.