MRS. BRENDA JOELLE LARSON DOLEJS (NPI# 1114145422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114145422 |
| Entity Type | Individual |
| Full Name | MRS. BRENDA JOELLE LARSON DOLEJS |
| Credential | ATC, ATR |
| Practice Address |
4080 W Broadway Ave Suite 300 Robbinsdale MN 55422-5604 |
| Mailing Address |
13875 Franchise Ave Apple Valley MN 55124-5616 |
| Practice Telephone | 6126727109 |
| Mailing Telephone | 9524312524 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1008 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4080 W BROADWAY AVE SUITE 300 |
| City | ROBBINSDALE |
| State | MN |
| Zip Code | 55422-5604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569232 | Healthplus Chiropractic | Chiropractor | 4080 W Broadway Ave, Ste 128, Robbinsdale, MN 55422-5605 | 2005-06-27 |
| 1427508035 | U.S. Healthworks Medical Group of Minnesota, PC | Preventive Medicine | 4080 W Broadway Ave, Suite 200, Robbinsdale, MN 55422-5604 | 2016-10-06 |
| 1427482314 | Healthplus Chiropractic, P.a. | Chiropractor | 4080 W Broadway Ave, Suite 128, Robbinsdale, MN 55422-5604 | 2013-08-27 |
| 1700226503 | Jacob Aaron Cruze | Physical Therapist | 4080 W Broadway Ave, Suite 300, Robbinsdale, MN 55422-5604 | 2013-06-26 |
| 1396007415 | Amy Kathleen Cole | Physical Therapist | 4080 W Broadway Ave, Suite 300, Robbinsdale, MN 55422-5604 | 2012-06-14 |
| 1801161427 | Family Focused Recovery Services Pllc | Substance Abuse Rehabilitation Facility | 4080 W Broadway Ave, Robbinsdale, MN 55422-5604 | 2012-03-14 |
| 1023394731 | Ian Michael Topping | Physical Therapist | 4080 W Broadway Ave, Suite 200, Robbinsdale, MN 55422-5604 | 2011-10-26 |
| 1053649632 | Health Activation Services, Pllc | Clinic/Center | 4080 W Broadway Ave, #200, Robbinsdale, MN 55422-5604 | 2009-11-19 |
| 1285961144 | Sanford Alan Olevitch | Physical Therapist | 4080 W Broadway Ave, Robbinsdale, MN 55422-5604 | 2009-11-12 |
| 1295929735 | Megan Jean Opsahl | Physical Therapist | 4080 W Broadway Ave, #300, Robbinsdale, MN 55422-5604 | 2007-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
| 1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
| 1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| Find all providers in zip 55422 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| 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. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508236894 | Jacob Kohl | Specialist/Technologist | 3858 W Broadway Ave, Robbinsdale, MN 55422-2208 | 2015-09-30 |
| 1346594793 | Samuel B Moore | Specialist/Technologist | 4337 Drew Ave N, Robbinsdale, MN 55422 | 2012-11-07 |
| 1760503346 | Matthew Stoneberg | Specialist/Technologist | 4080 W Broadway Ave Ste 300, Robbinsdale, MN 55422-5607 | 2007-04-02 |
| 1982008413 | Amanda Lynn Solyntjes | Specialist/Technologist | 3366 Oakdale Ave N, Robbinsdale, MN 55422-2948 | 2014-10-13 |
| 1417351941 | Rachael Jensen | Specialist/Technologist | 3366 Oakdale Ave N, Robbinsdale, MN 55422-2948 | 2014-10-13 |
| 1508133190 | Jessica Deforrest | Specialist/Technologist | 4080 W Broadway Ave Ste 300, Robbinsdale, MN 55422-5607 | 2011-11-26 |
| 1679773097 | Lindsey Geesaman | Specialist/Technologist | 4080 W Broadway Ave, #300, Robbinsdale, MN 55422-5604 | 2007-07-24 |
| 1194947325 | Scott L. Dack | Specialist/Technologist | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2007-05-03 |
| 1295956910 | Scot H. Jaenicke | Specialist/Technologist | 4080 W Broadway Ave, Suite 300, Robbinsdale, MN 55422-5604 | 2007-05-01 |
| 1912124579 | Lori Kay Glover | Specialist/Technologist | 4080 W Broadway Ave, Suite300, Robbinsdale, MN 55422-5604 | 2007-04-18 |
| Find all providers in ROBBINSDALE | ||||
| City | ROBBINSDALE |
| Zip Code | 55422 |
Please comment or provide details below to improve the information on MRS. BRENDA JOELLE LARSON DOLEJS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.