Individual
MS. LISA J SCHNIEPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
9025 BLOOMINGTON AVE, BLOOMINGTON, MN 55425-2307
(651) 324-6520
Mailing address
9025 BLOOMINGTON AVE, BLOOMINGTON, MN 55425-2307
(651) 324-6520
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2303
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208
ATHLETIC TRAINER
NE
01
—
2303
MINNESOTA BOARD OF MEDICAL PRACTICE
MN
Enumeration date
01/09/2007
Last updated
04/01/2015
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