Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kylie Macziewski

Individual provider Athletic Trainer · NPI 1558984674

Kylie Macziewski is an Athletic Trainer in Minneapolis, Minnesota. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

104 W 95th St
Minneapolis, MN 55420-4307
Phone: (952) 607-6749
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1558984674
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 22, 2020
Last updated in NPPESMay 22, 2020
Certification dateMay 22, 2020
Mailing address104 W 95th St, Bloomington, MN 55420-4307

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