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COLLEEN MCCULLOUGH
NPI 1104204726
Specialist/Technologist - Athletic Trainer in Maple Grove, MN

Active since May 14, 2015
11873 63RD PL N, MAPLE GROVE, MN 55369(763) 227-9791 Get Directions Write a Review

NPPES record last updated: May 14, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Colleen Mccullough NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLEEN MCCULLOUGH (NPI 1104204726) is an individual athletic trainer provider in Maple Grove, Minnesota and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1104204726
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameCOLLEEN MCCULLOUGH
Location Address11873 63RD PL NMaple Grove, MN 55369-6152
Mailing Address11873 63rd Pl NMaple Grove, MN 55369-6152
Phone(763) 227-9791
Sole ProprietorYes
Enumeration DateMay 14, 2015
✔ NPI 1104204726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
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 advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11873 63RD PL N, Maple Grove, MN 55369
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colleen Mccullough's NPI number?

The NPI number for Colleen Mccullough is 1104204726. It was assigned to this individual provider in the NPPES registry on May 14, 2015.

Where is Colleen Mccullough located?

Colleen Mccullough practices at 11873 63rd Pl N, Maple Grove, MN 55369. The listed phone number is (763) 227-9791.

What is Colleen Mccullough's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Colleen Mccullough was last updated on May 14, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.