Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELLE FASANO, AT, ATC
Active Sole ProprietorMICHELLE FASANO, AT, ATC is a Athletic Trainer healthcare provider located in FORT CAMPBELL, Kentucky. NPI 1063757219 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · FORT CAMPBELL, KY
Registration Details
- NPI Number
- 1063757219
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 29, 2012 (13.6651226299 yrs)
- Last Updated
- Oct 16, 2023
- Licenses
-
2402 (NC)096004795 (IL)068 (WY)2601001564 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
650 JOEL DRFORT CAMPBELL, KY, 422235318Browse KY providers · Browse ZIP 42223
- Phone
- 8477787280
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
- Additional Specialty
- Athletic Trainer
- Additional Specialty
- Athletic Trainer
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in FORT CAMPBELL, KY
| Name | Credential | NPI |
|---|---|---|
| MS. MARGARET THERESE BARTON | MS, ATC, PES | 1245293208 |
| MR. PAUL R MUSGROVE | ATC/L, CSCS | 1720167984 |
| APRIL M EVANS | ATC | 1821254962 |
| LAURA ANNE HORSLEY | ATC | 1124387121 |
| SAMANTHA AMUNDSON | LAT, ATC | 1831571231 |
| NICHOLAS PETERS | ATC, AT, M.ED | 1588022842 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.