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

TINA M HACKLEY, ATC

Active

TINA M HACKLEY, ATC is a Athletic Trainer healthcare provider located in COLUMBIA HEIGHTS, Minnesota. NPI 1316002066 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · COLUMBIA HEIGHTS, MN

Registration Details

NPI Number
1316002066
Provider Type
Individual
Gender
Female
NPI Issued
Dec 22, 2006 (19.622491151584 yrs)
Last Updated
Feb 10, 2016
License
1731 (MN)

Practice Information

Address
1400 49TH AVE NE
COLUMBIA HEIGHTS, MN, 554211939
Browse MN providers · Browse ZIP 55421
Phone
6128390249
Primary Specialty
Athletic Trainer
2255A2300X
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.