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Contact Information

KELLY N RICKE, MA, ATC
3580 ARCADE ST
VADNAIS HEIGHTS, MN55127-7135
 Phone: 651-968-5201
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for KELLY N RICKE · (Female)

NPI # 1154935435
Status Active
Credentials MA, ATC
Entity Individual
Enumeration date 09/03/2020
Last updated 01/27/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 3429
  • SD License # 0543
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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