Individual provider · Type 1 NPI

Jessica Deforrest, MA, ATC

Athletic Trainer · Robbinsdale, MN

NPI number 1508133190 Active

Practice location

4080 W Broadway Ave Ste 300
Robbinsdale, MN 55422-5607

Mailing address

470 Hickory Ln N
Oakdale, MN 55128-7037

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300X1755 (MN)

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

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About NPI 1508133190

Jessica Deforrest, MA, ATC's National Provider Identifier is 1508133190, issued on Nov 26, 2011. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Robbinsdale, MN. The record was last updated on Nov 26, 2011.