Jessica Deforrest, MA, ATC

NPI 1508133190 · on the registry since 2011 · sole proprietor

Practice

Address: 4080 W Broadway Ave Ste 300
Robbinsdale, MN 55422
Phone: (651) 231-8379
Organisation at this address: Neve Inc
North Urology, Ltd.
Covenant Human Services
Healthplus Chiropractic
Cld - Robbinsdale Mn, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 37

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-11-26

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