Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Blaine Anthony Birtzer, DAT, LAT, ATC

Individual provider Athletic Trainer · NPI 1003278813

Blaine Anthony Birtzer, DAT, LAT, ATC is an Athletic Trainer in Saint Paul, Minnesota. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
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

1536 Hewitt Ave
Saint Paul, MN 55104-1284
Phone: (651) 523-3094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1003278813
Entity typeIndividual (Type 1)
GenderMale
Credentials DAT , LAT , ATC
Sole proprietorNo
NPI enumeratedMarch 22, 2016
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

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