Blaine Anthony Birtzer, DAT, LAT, ATC
NPI #1003278813 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1003278813
- Entity Type
- Individual
- Name
- Blaine Anthony Birtzer, DAT, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- DAT, LAT, ATC
- Enumeration Date
- Mar 22, 2016
- Last Updated
- Aug 12, 2025
Practice Location
- Address
- 1536 HEWITT AVE
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55104-1284
- Phone
- (651) 523-3094
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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