Scott H. Kulstad, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1158 Issued in MN

Practice address

13472 Foxberry Rd
Savage, MN 55378-2336

Phone

(612) 802-1655

NPI assigned

Dec 22, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1164587911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13472 FOXBERRY RD",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782336",
            "telephone_number": "612-802-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13472 FOXBERRY RD",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782336",
            "telephone_number": "612-802-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULSTAD",
        "first_name": "SCOTT",
        "middle_name": "H.",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "1158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ibrahim Mustafa Kosar
• Kristin L Hammer PLLC
• Chelsea Marie Krob, MOT
• Lisa Ann Krueger
• Jonathan Richard Kuckhahn
• Bradley Peter Kuntz, DC
• Brent R Kvittem, DDS
• Nicole Kwyzla, LPN
• Bonnie Laabs, PHD
• Mimi Lam, M.D.

• Athletic Trainer in Savage, MN
• Providers in Savage, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.