Jennifier R Johnsrud, ATC
NPI #1558448373 in Fargo, North Dakota
Provider Information
- NPI Number
- 1558448373
- Entity Type
- Individual
- Name
- Jennifier R Johnsrud, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2400 32ND AVE S
- Address 2
- SPORTS MEDICINE
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58122-0001
- Phone
- (701) 234-7911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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