Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALISIA KAYE MACIOCH, M.S., LAT, ATC
Active Sole ProprietorALISIA KAYE MACIOCH, M.S., LAT, ATC is a Sports Medicine (PM&R) healthcare provider located in ROSEVILLE, Minnesota. NPI 1568998482 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · ROSEVILLE, MN
Registration Details
- NPI Number
- 1568998482
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 11, 2017 (9.2247995781408 yrs)
- Last Updated
- Mar 5, 2026
- License
-
3138 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1240 COUNTY ROAD B2 WROSEVILLE, MN, 551134338Browse MN providers · Browse ZIP 55113
- Phone
- 6513012279
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Student (Health Education/Training)
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.