Jessica Dutton, ATC
NPI #1972905495 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1972905495
- Entity Type
- Individual
- Name
- Jessica Dutton, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Sep 17, 2014
- Last Updated
- Sep 17, 2014
Practice Location
- Address
- 5 BIRCHWOOD AVE
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-1604
- Phone
- (651) 249-3622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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