Tyler Steven Kettelkamp, ATC
Athletic Trainer · Brooklyn Park, MN
Practice location
8559 Edinbrook Pkwy104
Brooklyn Park, MN 55443-3747
- Phone
- (763) 425-5461
NPI record
- NPI
- 1235372731
- Entity type
- Individual (Type 1)
- Enumeration date
- April 14, 2009
- Last updated
- April 14, 2009
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
— | — |
Mailing address
1745 Cedar DrNew Brighton, MN 55112-5246
About Tyler Kettelkamp
Tyler Steven Kettelkamp, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 8559 Edinbrook Pkwy, 104, Brooklyn Park, MN 55443-3747. The NPI number 1235372731 was assigned on April 14, 2009 and the record was last updated on April 14, 2009.
Frequently asked questions
What is the NPI number of Tyler Steven Kettelkamp, ATC?
The NPI number is 1235372731.
What is the phone number of Tyler Kettelkamp?
The phone number listed for the practice location is (763) 425-5461.
Where is Tyler Kettelkamp located?
8559 Edinbrook Pkwy, 104, Brooklyn Park, MN 55443-3747.
What is the taxonomy code for Tyler Kettelkamp?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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