TINA M HACKLEY (ATC) – Athletic Trainer, NPI 1316002066

TINA M HACKLEY (ATC) is a healthcare provider. based in Champlin, Minnesota. specializing in Athletic Trainer. They hold the professional credentials ATC. They hold a License No. 1731 (MN). The NPI Number for TINA M HACKLEY (ATC) is 1316002066

Main info

Female
Name
TINA M HACKLEY (ATC)
NPI
1316002066
Phone
(612) 839-0249
Address
10907 KENTUCKY AVE N
Enumeration Date
22 December 2006
Last Update Date
10 February 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for TINA M HACKLEY (ATC)

  • 10907, Kentucky Avenue North, Champlin, Hennepin County, Minnesota, 55316, United States

    CHAMPLIN, MN 553163823

    Phone: (612) 839-0249

    Type: Mailing

  • Columbia Heights High School, 1400, 49th Avenue Northeast, Columbia Heights, Anoka County, Minnesota, 55421, United States

    COLUMBIA HEIGHTS, MN 554211939

    Phone: (612) 839-0249

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55316)

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Reviews

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Frequently asked questions

Can I use this page to confirm TINA M HACKLEY (ATC)'s NPI?
Yes. TINA M HACKLEY (ATC) is listed with NPI 1316002066 in the public NPI dataset.
Is TINA M HACKLEY (ATC) listed as active for patients and plans?
The listing shows TINA M HACKLEY (ATC) as active in the NPI system.
What is TINA M HACKLEY (ATC)'s specialty?
The listing groups TINA M HACKLEY (ATC) with Athletic Trainer. Clinical services aligned with this taxonomy classification.
What address line appears for TINA M HACKLEY (ATC)?
TINA M HACKLEY (ATC)'s geographic hint is Champlin, Minnesota in our summary view.
Why does TINA M HACKLEY (ATC) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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