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ROGER JOHN CASEY ATC

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1730428699

Individual Registrant:
 ROGER JOHN CASEY ATC
Gender: M
Not Sole Proprietor

Location and contact information for practice:
12280 228TH ST N  SCANDIA, MN 55073-9467 US
Tel: 651-399-8497  Fax: --

Contact information for business:
12280 228TH ST N  SCANDIA, MN 55073-9467 US
Tel: 651-399-8497  Fax: --

Registration Information:
NPI: 1730428699
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
MN1109
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
MN304448

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS MN - Page 1



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