Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELSEY JACKSON FREDERICKS, LAT, ATC
Active Sole ProprietorKELSEY JACKSON FREDERICKS, LAT, ATC is a Athletic Trainer healthcare provider located in CLOVIS, New Mexico. NPI 1528729092 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CLOVIS, NM
Registration Details
- NPI Number
- 1528729092
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 6, 2022 (4.5686664170723 yrs)
- Last Updated
- Jan 6, 2022
- License
-
AT656 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2005 MILLER STCLOVIS, NM, 881018660Browse NM providers · Browse ZIP 88101
- Phone
- 5052695962
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in CLOVIS, NM
| Name | Credential | NPI |
|---|---|---|
| RILEY DOWNING | — | 1992394878 |
| ELJIN JON GORMAN | MS LAT ATC | 1619638186 |
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.