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MR. KEITH ALLEN WIEDRICH ATC
NPI 1356378848
Specialist/Technologist - Athletic Trainer in Moorhead, MN

Active since June 28, 2006
1107 7TH ST. S., MSU MOORHEAD - ATHLETICS, MOORHEAD, MN 56563(218) 477-2626(218) 477-5943 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Keith Allen Wiedrich Atc NPPES

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

MR. KEITH ALLEN WIEDRICH ATC (NPI 1356378848) is an individual athletic trainer provider in Moorhead, Minnesota and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1356378848
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. KEITH ALLEN WIEDRICHCredential: ATC
Location Address1107 7TH ST. S., MSU MOORHEAD - ATHLETICSMoorhead, MN 56563
Mailing Address1220 7th St NMoorhead, MN 56560-1570 · (218) 287-8402
Phone(218) 477-2626
Fax(218) 477-5943
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1356378848 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.
1107 7TH ST. S., Moorhead, MN 56563
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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 Keith Wiedrich's NPI number?

The NPI number for Keith Wiedrich is 1356378848. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Keith Wiedrich located?

Keith Wiedrich practices at 1107 7th St. S. Msu Moorhead - Athletics, Moorhead, MN 56563. The listed phone number is (218) 477-2626.

What is Keith Wiedrich'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 Keith Wiedrich was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.