Individual
MS. JAMIE MARIE GLADFELTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
675 E NICOLLET BLVD STE 135, BURNSVILLE, MN 55337-6770
(952) 892-2650
(952) 892-2654
Mailing address
14385 CORMORANT WAY, ROSEMOUNT, MN 55068-7113
(651) 423-4662
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1621
MN
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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