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MRS. LISA MARIE BOBERG ATC
NPI 1629512124
Specialist/Technologist - Athletic Trainer in Bloomington, MN

Active since December 19, 2016
8100 NORTHLAND DR, BLOOMINGTON, MN 55431(952) 831-8742 Get Directions Write a Review

NPPES record last updated: December 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Lisa Marie Boberg Atc NPPES

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

MRS. LISA MARIE BOBERG ATC (NPI 1629512124) is an individual athletic trainer provider in Bloomington, Minnesota, licensed in Minnesota (2053) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1629512124
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMRS. LISA MARIE BOBERGCredential: ATC
Location Address8100 NORTHLAND DRBloomington, MN 55431-4800
Mailing Address7105 Riverview Ter NeFridley, MN 55432-3046 · (608) 332-8400
Phone(952) 831-8742
Sole ProprietorYes
Enumeration DateDecember 19, 2016
✔ NPI 1629512124 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 · 2053
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.
8100 NORTHLAND DR, Bloomington, MN 55431
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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.

NICOLE BREUER ATC
Specialist/Technologist (Athletic Trainer)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742
KIM M WATERBURY MS, OTRL, CHT
Occupational Therapist
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742
JOSHUA VEENSTRA MD
Orthopaedic Surgery
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742
MS. NANCY J CALLINAN OT
Occupational Therapist (Hand)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742
KELSEY GLEICH ATC
Specialist/Technologist (Athletic Trainer)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742
TRIA ORTHOPAEDIC CENTER LLC
Clinic/Center (Ambulatory Surgical)
8100 NORTHLAND DR
MINNEAPOLIS, MN 55431
Hennepin County (952) 831-8742
CHRISTOPHER M. WALKER ATC
Specialist/Technologist (Athletic Trainer)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Hennepin County (952) 806-5745
GARRISON GLENN RICE DO
Family Medicine (Sports Medicine)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742

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 Lisa Boberg's NPI number?

The NPI number for Lisa Boberg is 1629512124. It was assigned to this individual provider in the NPPES registry on December 19, 2016.

Where is Lisa Boberg located?

Lisa Boberg practices at 8100 Northland Dr, Bloomington, MN 55431. The listed phone number is (952) 831-8742.

What is Lisa Boberg'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 Lisa Boberg was last updated on December 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.