Colleen Mccullough
NPI 1104204726 · Athletic Trainer · Maple Grove, MN
Colleen Mccullough is a Athletic Trainer provider in Maple Grove, MN (NPI 1104204726).
Provider details
- NPI number
- 1104204726
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-05-14
- Last updated
- 2015-05-14
Frequently asked questions
- What is Colleen Mccullough's NPI number?
- Colleen Mccullough's National Provider Identifier (NPI) is 1104204726, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Colleen Mccullough's specialty?
- Colleen Mccullough is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Colleen Mccullough located?
- Colleen Mccullough's practice location on file with NPPES is 11873 63rd Pl N, Maple Grove, MN 55369-6152.
- What is Colleen Mccullough's phone number?
- The practice phone number listed in the NPPES registry for Colleen Mccullough is (763) 227-9791.
- Is Colleen Mccullough's NPI active?
- Yes — Colleen Mccullough's NPI (1104204726) is active in the NPPES registry as of the last update on 2015-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.