IndividualActive
Alyssa Tiedens, MS, ATC
NPI 1346786761 · Athletic Trainer · Maple Grove, MN
Provider details
- NPI number
- 1346786761
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 2859 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
9177 Oakview Ln N
Maple Grove, MN 55369-6505
Phone: (763) 232-6394
Approximate (ZIP-level) locationGet directions
Mailing address
501 Old Town Drive
New Brighton, MN 55112
Registry dates
- Enumerated
- 2017-01-09
- Last updated
- 2017-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.