Individual
JESSICA BOOKHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1000 W 140TH ST UNIT 201, BURNSVILLE, MN 55337-4833
(952) 808-3000
Mailing address
23300 MAIN ST, HAMPTON, MN 55031-8756
(612) 867-7809
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2364
MN
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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