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

Jonathon Diercks, MS, ATR, ATC

Individual provider Athletic Trainer · NPI 1861879868

Jonathon Diercks, MS, ATR, ATC is an Athletic Trainer in Bloomington, Minnesota. Licensed in Minnesota. Registered with an NPI since 2015.

Licensed in
MN
In the registry since
2015
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

3800 American Blvd W Ste 2
Bloomington, MN 55431-4420
Phone: (952) 993-9706
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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 2597 (MN)

Record details

NPI number1861879868
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATR , ATC
Sole proprietorNo
NPI enumeratedApril 29, 2015
Last updated in NPPESApril 29, 2015

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