Individual
JACOB TODD VENESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 W COLLEGE AVE, SAINT PETER, MN 56082-1485
(952) 873-9230
Mailing address
6175 169TH ST W, FARMINGTON, MN 55024-7827
(952) 873-9230
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MN
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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