Jessica Weideman
NPI #1205426640 in Prior Lake, Minnesota
Provider Information
- NPI Number
- 1205426640
- Entity Type
- Individual
- Name
- Jessica Weideman
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Jan 20, 2021
- Last Updated
- Dec 22, 2022
Practice Location
- Address
- 16288 PARKVIEW DR SE
- City
- Prior Lake
- State
- Minnesota
- ZIP Code
- 55372-3314
- Phone
- (952) 447-7260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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