Individual
RITA MARIE ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC, EMT
Contact information
Practice address
155 RADIO DR, WOODBURY, MN 55125-2619
(952) 831-8742
Mailing address
155 RADIO DR, WOODBURY, MN 55125-2619
(651) 402-6255
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
989387
MN
2255A2300X
Athletic Trainer
3182-39
WI
2255A2300X
Athletic Trainer
Primary
3737
MN
Other
Enumeration date
03/07/2019
Last updated
09/22/2025
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