Jay Michael Albrecht, PH.D.
Individual provider Active NPI Athletic Trainer · Moorhead, MN
NPI 1336569748 · NPPES record last updated Apr 6, 2017
Key facts
- NPI
- 1336569748
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 2419 (MN)
- Practice address
- 1104 7TH Ave S
Minnesota State University Moorhead
Moorhead, MN 56563-0001 - Phone
- (218) 477-2864
- NPI assigned
- Apr 24, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2419 | MN | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2419 | MN | Yes |
| Health Educator | 174H00000X | 2419 | MN |
Addresses
Primary practice location
1104 7TH Ave S
Minnesota State University Moorhead
Moorhead, MN 56563-0001
Mailing address
6596 45TH Ave S
Fargo, ND 58104-3324
Phone (701) 371-8969
Other providers in Moorhead, MN
- Mohamednoor Aden
- Aegis Therapies
- Faiza Gbemisola Agiri
- Mohamed Ahmed
- Stephanie A Akers
- Ellen Albright
- Lauren Alderink
- Hani Ali
- Iqra Ali
- Shukri Ali
All providers in Moorhead, MN · Athletic Trainer in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.