MR. CLINTON MCCULLOUGH ATC
NPI 1487030490
Specialist/Technologist - Athletic Trainer in Saint Paul, MN

Q: What is Clinton Mccullough's NPI number?

The NPI number for Clinton Mccullough is 1487030490. It was assigned to this individual provider in the NPPES registry on August 3, 2015.

Q: What is Clinton Mccullough's specialty?

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

Active since August 03, 2015

435 PHALEN BLVD, SAINT PAUL, MN 55130(651) 254-8368(651) 254-8361 Get Directions Write a Review

NPPES record last updated: August 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Clinton Mccullough Atc NPPES

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

MR. CLINTON MCCULLOUGH ATC (NPI 1487030490) is an individual athletic trainer provider in Saint Paul, Minnesota, licensed in Minnesota (2331) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1487030490

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMR. CLINTON MCCULLOUGHCredential: ATC

Location Address435 PHALEN BLVDSaint Paul, MN 55130-5302

Mailing Address435 Phalen BlvdSaint Paul, MN 55130-5302 · (651) 254-8368 · Fax (651) 254-8361

Phone(651) 254-8368

Fax(651) 254-8361

Sole ProprietorNo

Enumeration DateAugust 3, 2015

✔ NPI 1487030490 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 · 2331

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.

435 PHALEN BLVD, Saint Paul, MN 55130

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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.

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