Individual
MR. BRANDON JENTINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1381 JEFFERSON RD, NORTHFIELD, MN 55057
(507) 646-8800
Mailing address
1381 JEFFERSON RD, NORTHFIELD, MN 55057-3080
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/10/2015
Last updated
01/18/2019
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