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

Mrs. Patricia A. Moen, MS, ATC

Individual provider Athletic Trainer · NPI 1689638066

Mrs. Patricia A. Moen, MS, ATC is an Athletic Trainer in Blaine, Minnesota. Works from 3 locations. Licensed in Illinois and Minnesota.

Licensed in
IL, MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

10961 Clubwest Pkwy NE Ste 200
Blaine, MN 55449
Phone: (763) 528-2992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1525 West Lincoln Highway, Dekalb, IL 60115 — (815) 753-9477
  • 11850 Blackfoot St Nw, Minneapolis, MN 55433-2578 — (952) 946-9777

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2666 (MN)
Athletic Trainer Taxonomy 2255A2300X · Licence 096-001286 (IL)

Record details

NPI number1689638066
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , ATC
Sole proprietorNo
NPI enumeratedApril 13, 2006
Last updated in NPPESDecember 2, 2022
Certification dateNovember 30, 2022

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