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

Mr. Bradley Dean Mack, LATC

Individual provider Athletic Trainer · NPI 1588785265

Mr. Bradley Dean Mack, LATC is an Athletic Trainer in Eagan, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2007

Practice location Address checks out

4185 Braddock Trl
Eagan, MN 55123-1575
Phone: (651) 683-6945
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1568 (MN)

Record details

NPI number1588785265
Entity typeIndividual (Type 1)
GenderMale
Credentials LATC
Sole proprietorYes
NPI enumeratedApril 2, 2007
Last updated in NPPESJuly 8, 2007

Other providers in Eagan