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TYLER STEVEN KETTELKAMP ATC
NPI 1235372731
Specialist/Technologist - Athletic Trainer in Brooklyn Park, MN

Active since April 14, 2009
8559 EDINBROOK PKWY, 104, BROOKLYN PARK, MN 55443(763) 425-5461 Get Directions Write a Review

NPPES record last updated: April 14, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyler Steven Kettelkamp Atc NPPES

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

TYLER STEVEN KETTELKAMP ATC (NPI 1235372731) is an individual athletic trainer provider in Brooklyn Park, Minnesota and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1235372731
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameTYLER STEVEN KETTELKAMPCredential: ATC
Location Address8559 EDINBROOK PKWY, 104Brooklyn Park, MN 55443-3747
Mailing Address1745 Cedar DrNew Brighton, MN 55112-5246
Phone(763) 425-5461
Sole ProprietorNo
Enumeration DateApril 14, 2009
✔ NPI 1235372731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
8559 EDINBROOK PKWY, Brooklyn Park, MN 55443
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Other Providers at the Same Location NPPES 14

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

DR. KAITLIN ANNE SULLIVAN D.D.S.
Dentist
8559 EDINBROOK PKWY
MINNEAPOLIS, MN 55443
Hennepin County (763) 425-3644
MRS. LISA KAY VANBERKEL PT
Physical Therapist
8559 EDINBROOK PKWY, #104
BROOKLYN PARK, MN 55443
Hennepin County (763) 425-5461
ROSALYNN TORRALBA MD
Family Medicine
8559 EDINBROOK PKWY, SUITE 100
BROOKLYN PARK, MN 55443
Hennepin County (763) 425-1888
DR. MONICA MANORANJIN ALLEY DDS
Dentist (General Practice)
8559 EDINBROOK PKWY
BROOKLYN PARK, MN 55443
Hennepin County (763) 425-3644
TERESA MARY PAULSON PT
Physical Therapist
8559 EDINBROOK PKWY, #104
BROOKLYN PARK, MN 55443
Hennepin County (763) 425-5461
WENDY L CARROLL PA-C
Physician Assistant
8559 EDINBROOK PKWY, SUITE 100
BROOKLYN PARK, MN 55443
Hennepin County (612) 374-8730
IBRAHIM A MUJIR M.D.
Family Medicine
8559 EDINBROOK PKWY, STE 100
BROOKLYN PARK, MN 55443
Hennepin County (763) 425-1888
DR. MICHAEL WAYNE JOHNSON DDS
Dentist (General Practice)
8559 EDINBROOK PKWY
BROOKLYN PARK, MN 55443
Hennepin County (763) 425-3644

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 Tyler Kettelkamp's NPI number?

The NPI number for Tyler Kettelkamp is 1235372731. It was assigned to this individual provider in the NPPES registry on April 14, 2009.

Where is Tyler Kettelkamp located?

Tyler Kettelkamp practices at 8559 Edinbrook Pkwy 104, Brooklyn Park, MN 55443. The listed phone number is (763) 425-5461.

What is Tyler Kettelkamp'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 Tyler Kettelkamp was last updated on April 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.