Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA DUTTON, ATC
Active Sole ProprietorJESSICA DUTTON, ATC is a Athletic Trainer healthcare provider located in WHITE BEAR LAKE, Minnesota. NPI 1972905495 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WHITE BEAR LAKE, MN
Registration Details
- NPI Number
- 1972905495
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 17, 2014 (11.865117111161 yrs)
- Last Updated
- Sep 17, 2014
- License
-
2505 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5 BIRCHWOOD AVEWHITE BEAR LAKE, MN, 551101604Browse MN providers · Browse ZIP 55110
- Phone
- 6512493622
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in WHITE BEAR LAKE, MN
| Name | Credential | NPI |
|---|---|---|
| ERNEST JOSEPH PRICE | STUDENT | 1992270763 |
| JEANNE MARIE HARTLE | — | 1033750591 |
| CRAIG DANIEL MERTEN | — | 1760082044 |
| BRITTNEY ANN POHTO | — | 1063002491 |
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.