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

Mr. Nathan Michael Tellers, ATC

Individual provider Athletic Trainer · NPI 1922092675

Mr. Nathan Michael Tellers, ATC is an Athletic Trainer in St Bonifacius, Minnesota. Licensed in Minnesota. Registered with an NPI since 2005.

Licensed in
MN
In the registry since
2005
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

4246 Spruce Rd
St Bonifacius, MN 55375-1315
Phone: (952) 467-1915
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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 1745 (MN)

Record details

NPI number1922092675
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedSeptember 8, 2005
Last updated in NPPESJuly 13, 2026
Mailing address4246 Spruce Rd, St Bonifacius, MN 55375-1315

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