Swaggert, Justin Lee

Swaggert, Justin Lee is an individual health care provider with primary practice located at 516 15Th Ave Se , Minneapolis MN 55455-0130. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Swaggert, Justin Lee can be contacted via phone (612) 625-0649.

Contact Information

Primary practice address
516 15Th Ave Se Minneapolis MN 55455-0130
Phone: (612) 625-0649
Fax: (612) 626-4789
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1811032873
LBN Legal business name Swaggert, Justin Lee
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Popular Providers