MISS KELLY NICOLE RICKE MA, ATC - NPI 1154935435 - Specialist/Technologist in Eagan, MN

Q: What is Kelly Ricke's NPI number?

The NPI number for Kelly Ricke is 1154935435. It was assigned to this individual provider in the NPPES registry on September 3, 2020.

Q: What is Kelly Ricke's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Ricke was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Miss Kelly Nicole Ricke Ma, Atc NPPES

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

MISS KELLY NICOLE RICKE MA, ATC (NPI 1154935435) is an individual athletic trainer provider in Eagan, Minnesota, licensed in Minnesota (3429) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1154935435

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameMISS KELLY NICOLE RICKECredential: MA, ATC

Location Address2620 EAGAN WOODS DREagan, MN 55121-1138

Mailing Address2620 Eagan Woods DrEagan, MN 55121-1138 · (651) 968-5200

Phone(651) 968-5201

Sole ProprietorNo

Enumeration DateSeptember 3, 2020

Last NPPES UpdateJune 26, 20262 updates tracked since enumeration

NPPES CertifiedJune 26, 2026

✔ NPI 1154935435 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

License✔ Licensed in MN · 3429

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 ListedPhysical Medicine & Rehabilitation · Sports MedicineTaxonomy 2081S0010X · License 0543 (SD)

2620 EAGAN WOODS DR, Eagan, MN 55121

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIRA RENNER

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