Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Deforrest, MA, ATC

Individual provider Athletic Trainer · NPI 1508133190

Jessica Deforrest, MA, ATC is an Athletic Trainer in Robbinsdale, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2011
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

4080 W Broadway Ave Ste 300
Robbinsdale, MN 55422-5607
Phone: (651) 231-8379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1755 (MN)

Record details

NPI number1508133190
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , ATC
Sole proprietorYes
NPI enumeratedNovember 26, 2011
Last updated in NPPESNovember 26, 2011

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