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Organization

PREMIER SPORT PSYCHOLOGY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHADRIC RASMUSSEN (DIRECTOR OF FINANCE & OPERATIONS)
(952) 456-2910
Entity
Organization

Contact information

Practice address
7401 METRO BLVD STE 510, EDINA, MN 55439-3033
(952) 835-8513
Mailing address
7401 METRO BLVD STE 510, EDINA, MN 55439-3033
(952) 835-8513

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
02/17/2026
Last updated
02/17/2026
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