Christy Jeanette White, ATC
Individual provider Active NPI Athletic Trainer · Zimmerman, MN
NPI 1619367018 · NPPES record last updated Jan 23, 2015
Key facts
- NPI
- 1619367018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 2416 (MN)
- Practice address
- 26479 Fremont Dr
Zimmerman, MN 55398-4566 - Phone
- (612) 229-7767
- NPI assigned
- Jan 23, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2416 | MN | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2416 | MN | Yes |
Addresses
Primary practice location
26479 Fremont Dr
Zimmerman, MN 55398-4566
Mailing address
26479 Fremont Dr
Zimmerman, MN 55398-4566
Phone (612) 229-7767
Other providers in Zimmerman, MN
- Lucas John Valerius
- Margery Ann Vetsch-Peterson
- Danelle Marie Waite
- Victoria Ann Warren
- Amanda Watters-Loew
- Kelly Korene White
- Wildflower Midwifery, Inc.
- Deanna Faye Williams
- Holly Beth Zelenak
- Savannah Ziehme
All providers in Zimmerman, 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 Jan 23, 2015. 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.