IndividualActive
Amy Johanek, ATC
NPI 1093008567 · Athletic Trainer · Alexandria, MN
Provider details
- NPI number
- 1093008567
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 2248 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
111 17th Ave E Ste 101
Alexandria, MN 56308-3734
Phone: (320) 250-7703
Approximate (ZIP-level) locationGet directions
Mailing address
111 17th Ave E Ste 101
Alexandria, MN 56308-3734
Registry dates
- Enumerated
- 2011-05-17
- Last updated
- 2012-02-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.