Individual provider · Type 1 NPI
Alisia Kaye Macioch, M.S., LAT, ATC
Sports Medicine (Physical Medicine & Rehabilitation) Physician · Roseville, MN
Practice location
1240 County Road B2 W
Roseville, MN 55113-4338
Mailing address
320 6th Ave S
South St. Paul, MN 55075-2624
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary | 2081S0010X | 3138 (MN) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Sports Medicine (Physical Medicine & Rehabilitation) Physician: A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology…
4 other providers at this address
About NPI 1568998482
Alisia Kaye Macioch, M.S., LAT, ATC's National Provider Identifier is 1568998482, issued on May 11, 2017. The primary taxonomy on file is Sports Medicine (Physical Medicine & Rehabilitation) Physician (2081S0010X), and the practice location is in Roseville, MN. The record was last updated on Mar 5, 2026.