Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAELA ASHLYN FAIRBANKS, ATC,LAT
ActiveMICHAELA ASHLYN FAIRBANKS, ATC,LAT is a Athletic Trainer healthcare provider located in DEER RIVER, Minnesota. NPI 1144794793 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · DEER RIVER, MN
Registration Details
- NPI Number
- 1144794793
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 16, 2019 (7.5345061633847 yrs)
- Last Updated
- Apr 7, 2022
Practice Information
- Address
-
44711 COUNTY ROAD 18DEER RIVER, MN, 566362148Browse MN providers · Browse ZIP 56636
- Phone
- 2183687931
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.