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

Stacey John, ATC, OTC

Individual provider Surgical Assistant · NPI 1144634601

Stacey John, ATC, OTC is a Surgical Assistant in Vadnais Heights, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.

Licensed in
MN
In the registry since
2014
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

3580 Arcade St
Vadnais Heights, MN 55127-7135
Phone: (651) 968-5375
Fax: (651) 968-5907
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2280 (MN)
Surgical Assistant Taxonomy 246ZC0007X · Licence 18-2775 (MN)

Record details

NPI number1144634601
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , OTC
Sole proprietorNo
NPI enumeratedJune 12, 2014
Last updated in NPPESJanuary 29, 2020
Certification dateJanuary 29, 2020
Mailing address1285 Nininger Rd, Hastings, MN 55033-1086

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