Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALYSSA L FREDERICKS
Active Sole ProprietorALYSSA L FREDERICKS is a Athletic Trainer healthcare provider located in POLACCA, Arizona. NPI 1497222681 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · POLACCA, AZ
Registration Details
- NPI Number
- 1497222681
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 26, 2018 (7.8167670834661 yrs)
- Last Updated
- Oct 26, 2018
- License
-
ATR-001676 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
HWY 264 MILEPOST 388UNIT 40POLACCA, AZ, 86042Browse AZ providers · Browse ZIP 86042
- Phone
- 9287370414
- 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.