Stacey John, ATC, OTC

NPI 1144634601 · on the registry since 2014

Practice

Address: 3580 Arcade St
Vadnais Heights, MN 55127
Phone: (651) 968-5375
Fax: (651) 968-5907
Organisation at this address: Summit Orthopedics, Ltd
Summit Orthopedics, Ltd
Pinnacle Home Health Care, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 95

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Also registered as: Surgical Assistant
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-01-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota