Individual
JENNIFER REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 BANDANA BLVD E STE 100, SAINT PAUL, MN 55108-5109
(651) 241-9700
(651) 241-9678
Mailing address
1441 BROADWAY N APT 204, FARGO, ND 58102-2671
(701) 371-2756
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2788
MN
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/06/2015
Last updated
08/20/2020
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