Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHON DIERCKS, MS, ATR, ATC
ActiveJONATHON DIERCKS, MS, ATR, ATC is a Athletic Trainer healthcare provider located in BLOOMINGTON, Minnesota. NPI 1861879868 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BLOOMINGTON, MN
Registration Details
- NPI Number
- 1861879868
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 29, 2015 (11.266598353517 yrs)
- Last Updated
- Apr 29, 2015
- License
-
2597 (MN)
Practice Information
- Address
-
3800 AMERICAN BLVD WSUITE 2BLOOMINGTON, MN, 554314420Browse MN providers · Browse ZIP 55431
- Phone
- 9529939706
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BLOOMINGTON, MN
| Name | Credential | NPI |
|---|---|---|
| EMILY SUE HAYWOOD | ATC | 1932264777 |
| MS. LISA J SCHNIEPP | ATC | 1134278021 |
| CARRIE PARZYCK | — | 1588715387 |
| MRS. SONYA S. EIKUM | MS ATC ATR | 1861519878 |
| CHRISTOPHER M. WALKER | ATC | 1053552182 |
| MRS. SARAH M ORNAT | MS, ATC | 1174857049 |
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.