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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS KELLY NICOLE RICKE, MA, ATC

Active

MISS KELLY NICOLE RICKE, MA, ATC is a Athletic Trainer healthcare provider located in VADNAIS HEIGHTS, Minnesota. NPI 1154935435 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · VADNAIS HEIGHTS, MN

Registration Details

NPI Number
1154935435
Provider Type
Individual
Gender
Female
NPI Issued
Sep 3, 2020 (5.9731295272939 yrs)
Last Updated
Jan 27, 2022
Licenses
0543 (SD)
3429 (MN)

Practice Information

Address
3580 ARCADE ST
VADNAIS HEIGHTS, MN, 551277135
Browse MN providers · Browse ZIP 55127
Phone
6519685201
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in VADNAIS HEIGHTS, MN

Name Credential NPI
STACEY JOHN ATC, OTC 1144634601
CAITLIN BROBERG 1477134716
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.