Individual provider · Type 1 NPI

Stacey Ortiz, LAT, ATC

Athletic Trainer · Plymouth, MN

NPI number 1306233655 Active

Practice location

6050 Sycamore Ln N
Plymouth, MN 55442-1402

Call (651) 968-5462 Map

Mailing address

524 2nd Ave NE
Osseo, MN 55369-1111

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300X3841 (MN)
Athletic Trainer 2255A2300XA160417201 (WA)

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 1306233655

Stacey Ortiz, LAT, ATC's National Provider Identifier is 1306233655, issued on Apr 23, 2015. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Plymouth, MN. The record was last updated on Feb 1, 2026.