JEFFREY TODD JOHNSON

SAINT CLOUD, MN
NPI1437202884
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN  1088)
Enumeration Date2007-01-19
Last Update Date2007-07-08
Business Address
Mr. JEFFREY TODD JOHNSON ATC
720 4TH AVE S 214 HALENBECK HALL
SAINT CLOUD, MN 56301-4442
Phone number: 320-308-2503
Mailing Address
Mr. JEFFREY TODD JOHNSON ATC
332 RIVERSIDE DR NE
SAINT CLOUD, MN 56304-0345
Phone number: 320-656-1453