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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAMES FREDERICKSON

Active

JAMES FREDERICKSON is a Athletic Trainer healthcare provider located in MOUNT PLEASANT, Wisconsin. NPI 1518405554 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · MOUNT PLEASANT, WI

Registration Details

NPI Number
1518405554
Provider Type
Individual
Gender
Male
NPI Issued
Feb 10, 2017 (9.4759885121292 yrs)
Last Updated
Jul 2, 2020
Licenses
F6364559441101 (WI)
F6364559441101 (WI)

Practice Information

Address
5635 TAYLOR AVE
MOUNT PLEASANT, WI, 534039732
Browse WI providers · Browse ZIP 53403
Phone
2629307616
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in MOUNT PLEASANT, WI

Name Credential NPI
LYNN SWINDALL ATC 1326464454
STEPHANIE NELSON LAT, ATC 1518363209
GRACE ELIZABETH CORTEZ LAT 1396134524
ALYSON NICOLE GLOVER 1114453602
ALEXANDRA STEINBERG LAT 1801363437
BRIDGET A SORENSON LAT 1376107433
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.