STACEY JOHN ATC, OTC
NPI 1144634601
Specialist/Technologist - Athletic Trainer in Vadnais Heights, MN

Q: What is Stacey John's NPI number?

The NPI number for Stacey John is 1144634601. It was assigned to this individual provider in the NPPES registry on June 12, 2014.

Q: What is Stacey John's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Stacey John was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 12, 2014

3580 ARCADE ST, VADNAIS HEIGHTS, MN 55127(651) 968-5375(651) 968-5907 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stacey John Atc, Otc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY JOHN ATC, OTC (NPI 1144634601) is an individual athletic trainer provider in Vadnais Heights, Minnesota, licensed in Minnesota (2280) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1144634601

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameSTACEY JOHNCredential: ATC, OTC

Location Address3580 ARCADE STVadnais Heights, MN 55127-7135

Mailing Address1285 Nininger RdHastings, MN 55033-1086 · (651) 968-5413 · Fax (651) 437-2988

Phone(651) 968-5375

Fax(651) 968-5907

Sole ProprietorNo

Enumeration DateJune 12, 2014

Last NPPES UpdateJanuary 29, 2020

✔ NPI 1144634601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in MN · 2280

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X · License 18-2775 (MN)

3580 ARCADE ST, Vadnais Heights, MN 55127

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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