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

Miss. Kelly Nicole Ricke, MA, ATC

Individual provider Athletic Trainer · NPI 1154935435

Miss. Kelly Nicole Ricke, MA, ATC is an Athletic Trainer in Eagan, Minnesota. Licensed in Minnesota and South Dakota. Registered with an NPI since 2020.

Licensed in
MN, SD
In the registry since
2020
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2620 Eagan Woods Dr
Eagan, MN 55121-1138
Phone: (651) 968-5201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 3429 (MN)
Sports Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081S0010X · Licence 0543 (SD)

Record details

NPI number1154935435
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , ATC
Sole proprietorNo
NPI enumeratedSeptember 3, 2020
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026

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