Tina M Hackley, ATC
NPI #1316002066 in Columbia Heights, Minnesota
Provider Information
- NPI Number
- 1316002066
- Entity Type
- Individual
- Name
- Tina M Hackley, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Dec 22, 2006
- Last Updated
- Feb 10, 2016
Practice Location
- Address
- 1400 49TH AVE NE
- City
- Columbia Heights
- State
- Minnesota
- ZIP Code
- 55421-1939
- Phone
- (612) 839-0249
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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