Stacey John, ATC, OTC
NPI #1144634601 in Vadnais Heights, Minnesota
Provider Information
- NPI Number
- 1144634601
- Entity Type
- Individual
- Name
- Stacey John, ATC, OTC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, OTC
- Enumeration Date
- Jun 12, 2014
- Last Updated
- Jan 29, 2020
Practice Location
- Address
- 3580 ARCADE ST
- City
- Vadnais Heights
- State
- Minnesota
- ZIP Code
- 55127-7135
- Phone
- (651) 968-5375
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant |
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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