Female

Amy Johanek ATC

Athletic Trainer in Alexandria, MN(View on Map)

Full Name

Amy Johanek ATC

NPI Number

1093008567

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/17/2011

Specialties

(Taxonomies)

Code

2255A2300X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

2248

Contact
Information

Purpose

Mailing
Location

Address

111 17TH AVE E STE 101
111 17TH AVE E STE 101

City

Alexandria
Alexandria

State

MN
MN

Postal Code

56308-3734
56308-3734

Country

US
US

Telephone Number

N/A
(320) 250-7703

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/29/2012

Provider Address

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