Provider Demographics
NPI:1154544914
Name:BJORNARAA, JAYNIE (PHD, MPH, PT, ATC)
Entity type:Individual
Prefix:
First Name:JAYNIE
Middle Name:
Last Name:BJORNARAA
Suffix:
Gender:F
Credentials:PHD, MPH, PT, ATC
Other - Prefix:
Other - First Name:JAYNIE
Other - Middle Name:BJORNARAA
Other - Last Name:SCHRAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:5117 WASHBURN AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55410-2253
Mailing Address - Country:US
Mailing Address - Phone:612-721-6916
Mailing Address - Fax:
Practice Address - Street 1:601 25TH AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454-1454
Practice Address - Country:US
Practice Address - Phone:651-690-7893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2811225100000X
CA18311225100000X
CO2419225100000X
MN20002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer