NPI 1003278813

Blaine Anthony Birtzer, DATLATATC

Practitioner Athletic Trainer Saint Paul, MN

Practice location

Address: 1536 Hewitt Ave, Saint Paul, MN 55104-1284
Phone: (651) 523-3094
Mailing address: 1536 Hewitt Ave, Saint Paul, MN 55104-1205

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Minnesota →

Registry record

NPI: 1003278813
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Mar 2016
Record last updated: 12 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.