Individual provider · Type 1 NPI

Taylor J. Freetly, MD

Sports Medicine (Orthopaedic Surgery) Physician · Blaine, MN

NPI number 1104446996 Active

Practice location

11225 Ulysses St NE
Blaine, MN 55434-4261

Fax (763) 302-2601

Mailing address

3500 American Blvd W Ste 300
Bloomington, MN 55431-4442

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician 207X00000X79997 (MN)
Sports Medicine (Orthopaedic Surgery) Physician Primary 207XX0005X79997 (MN)

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

29 other providers at this address

About NPI 1104446996

Taylor J. Freetly, MD's National Provider Identifier is 1104446996, issued on Apr 21, 2020. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Blaine, MN. The record was last updated on Jul 29, 2026.