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MARY ELIZABETH HERNANDEZ PETRULO
NPI 1477134252
Specialist/Technologist - Athletic Trainer in Eagan, MN

Active since April 14, 2021
2107 CEDAR GROVE TRL APT 114, EAGAN, MN 55122(952) 210-6330 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Elizabeth Hernandez Petrulo NPPES

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

MARY ELIZABETH HERNANDEZ PETRULO (NPI 1477134252) is an individual athletic trainer provider in Eagan, Minnesota, licensed in Minnesota (00883) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1477134252
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMARY ELIZABETH HERNANDEZ PETRULO
Location Address2107 CEDAR GROVE TRL APT 114Eagan, MN 55122-1612
Mailing Address2107 Cedar Grove Trl Apt 114Eagan, MN 55122-1612 · (952) 210-6330
Phone(952) 210-6330
Sole ProprietorYes
Enumeration DateApril 14, 2021
NPPES CertifiedApril 14, 2021
✔ NPI 1477134252 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
License✔ Licensed in MN · 00883
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.
2107 CEDAR GROVE TRL APT 114, Eagan, MN 55122
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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 Mary Hernandez Petrulo's NPI number?

The NPI number for Mary Hernandez Petrulo is 1477134252. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Where is Mary Hernandez Petrulo located?

Mary Hernandez Petrulo practices at 2107 Cedar Grove Trl Apt 114, Eagan, MN 55122. The listed phone number is (952) 210-6330.

What is Mary Hernandez Petrulo'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 Mary Hernandez Petrulo was last updated on April 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.