Nordmeyer, Kassondra Jo

Nordmeyer, Kassondra Jo is an sole proprietor health care provider with primary practice located at 2211 Riverside Ave , Minneapolis MN 55454-1350. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Nordmeyer, Kassondra Jo can be contacted via phone (612) 330-1108.

Contact Information

Primary practice address
2211 Riverside Ave Minneapolis MN 55454-1350
Phone: (612) 330-1108
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2255 Minnesota

Profile Details

NPI number 1134566136
LBN Legal business name Nordmeyer, Kassondra Jo
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2013
Last updated Dec 3rd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134566136 NPPES
Minnesota Other 2255 STATE OF MINNESOTA BOARD OF MEDICAL PRACTICE

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