Scot H. Jaenicke, A.T.C.
NPI #1295956910 in Robbinsdale, Minnesota
Provider Information
- NPI Number
- 1295956910
- Entity Type
- Individual
- Name
- Scot H. Jaenicke, A.T.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- A.T.C.
- Enumeration Date
- May 1, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4080 W BROADWAY AVE
- Address 2
- SUITE 300
- City
- Robbinsdale
- State
- Minnesota
- ZIP Code
- 55422-5604
- Phone
- (763) 533-0341
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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