Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tyler Daniel Shafer, MS, LAT, ATC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1245820679

Tyler Daniel Shafer, MS, LAT, ATC is a Student in an Organized Health Care Education/Training Program in Saint Paul, Minnesota. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

310 Smith Ave N Ste 300
Saint Paul, MN 55102-2383
Phone: (952) 946-9777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 18895 Englewood Way, Farmington, MN 55024-8139 — (651) 304-7725

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1245820679
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LAT , ATC
Sole proprietorYes
NPI enumeratedJanuary 20, 2021
Last updated in NPPESNovember 27, 2022
Certification dateNovember 27, 2022

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