Individual provider · Type 1 NPI

Kelly Nicole Ricke, MA, ATC

Athletic Trainer · Eagan, MN

NPI number 1154935435 Active

Practice location

2620 Eagan Woods Dr
Eagan, MN 55121-1138

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300X3429 (MN)
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X0543 (SD)

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

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About NPI 1154935435

Kelly Nicole Ricke, MA, ATC's National Provider Identifier is 1154935435, issued on Sep 3, 2020. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Eagan, MN. The record was last updated on Jun 26, 2026.