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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB JOHNSON

Active Sole Proprietor

JACOB JOHNSON is a Athletic Trainer healthcare provider located in CAMBRIDGE, Minnesota. NPI 1952811861 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · CAMBRIDGE, MN

Registration Details

NPI Number
1952811861
Provider Type
Individual
Gender
Male
NPI Issued
Oct 5, 2017 (8.8271355171854 yrs)
Last Updated
Oct 5, 2017
Sole Proprietor
Yes

Practice Information

Address
33610 WASHINGTON ST NE
CAMBRIDGE, MN, 550089153
Browse MN providers · Browse ZIP 55008
Phone
7632217190
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in CAMBRIDGE, MN

Name Credential NPI
MRS. NICOLE MARIE WESTENSEE ATC 1922424043
HEIDI DUONG ATC 1508260027
NENA BURT ATC 1568015717
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.