Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY ORTIZ, LAT, ATC
ActiveSTACEY ORTIZ, LAT, ATC is a Athletic Trainer healthcare provider located in PLYMOUTH, Minnesota. NPI 1306233655 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PLYMOUTH, MN
Registration Details
- NPI Number
- 1306233655
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 23, 2015 (11.267488444719 yrs)
- Last Updated
- Feb 1, 2026
- Licenses
-
3841 (MN)A160417201 (WA)
Practice Information
- Address
-
6050 SYCAMORE LN NPLYMOUTH, MN, 554421402Browse MN providers · Browse ZIP 55442
- Phone
- 6519685462
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in PLYMOUTH, MN
| Name | Credential | NPI |
|---|---|---|
| SAMANTHA KIESER | ATC | 1750767281 |
| MATTHEW LEE MALLINGER | BS, ATC, OTC | 1851837389 |
| KALLIE SCHMIT | — | 1225578297 |
| MISS ERIN KATHLEEN GARRY | — | 1578004396 |
| CODY GROTEWOLD | MS, ATC, LAT | 1538696273 |
| MATTHEW S MILLER | BS | 1598365850 |
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.