Alisia Kaye Macioch, MS, LAT, ATC

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1568998482

Alisia Kaye Macioch, MS, LAT, ATC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Roseville, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in: MN
In the registry since: 2017
Specialties on file: 2

What do these letters mean?

MS — Master of Science: A graduate science degree.
LAT — Licensed Athletic Trainer: A state-licensed athletic trainer.
ATC — Certified Athletic Trainer: Prevents and treats sport and activity injuries.

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Practice location Address checks out

1240 County Road B2 W
Roseville, MN 55113-4338
Phone: (651) 301-2279

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary)	Taxonomy 2081S0010X · Licence 3138 (MN)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1568998482
Entity type	Individual (Type 1)
Gender	Female
Credentials	MS , LAT , ATC
Sole proprietor	Yes
NPI enumerated	May 11, 2017
Last updated in NPPES	March 5, 2026
Certification date	March 5, 2026