Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN FODDRILL, ATC
Active Sole ProprietorBENJAMIN FODDRILL, ATC is a Athletic Trainer healthcare provider located in CALEDONIA, Michigan. NPI 1255930962 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CALEDONIA, MI
Registration Details
- NPI Number
- 1255930962
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 22, 2020 (5.8027315567563 yrs)
- Last Updated
- Oct 22, 2020
- License
-
2601002518 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7380 CLEARVIEW DRCALEDONIA, MI, 493169309Browse MI providers · Browse ZIP 49316
- Phone
- 5174206433
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in CALEDONIA, MI
| Name | Credential | NPI |
|---|---|---|
| MARCUS SMITHSON | MBA, ATC | 1538577531 |
| MR. BRETT MARTIN KNOOP | MED., AT, ATC | 1659741353 |
| KAYCEE LEE | — | 1639691439 |
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.