IndividualActive
Alec Weis, MS, LAT, ATC, CSCS
NPI 1619454774 · Athletic Trainer · Champlin, MN
Provider details
- NPI number
- 1619454774
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, LAT, ATC, CSCS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3411 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
6025 109th Ave N
Champlin, MN 55316-3475
Phone: (763) 478-1360
Approximate (ZIP-level) locationGet directions
Mailing address
2230 Arthur St Ne
Minneapolis, MN 55418-3911
Registry dates
- Enumerated
- 2018-07-22
- Last updated
- 2023-04-03
- Certified
- 2023-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.