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

Molly Ann Vanderboom, MED, ATC, LAT, OPE

Individual provider Athletic Trainer · NPI 1184387938

Molly Ann Vanderboom, MED, ATC, LAT, OPE is an Athletic Trainer in Rochester, Minnesota. Licensed in Minnesota. Registered with an NPI since 2021.

Licensed in
MN
In the registry since
2021
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

5155 55th St NW
Rochester, MN 55901-3855
Phone: (507) 292-7174
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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 2668 (MN)

Record details

NPI number1184387938
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , ATC , LAT , OPE
Sole proprietorNo
NPI enumeratedOctober 19, 2021
Last updated in NPPESOctober 19, 2021
Certification dateOctober 19, 2021

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