Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SCOTT CORNELIUSSEN, ATC
ActiveSCOTT CORNELIUSSEN, ATC is a Athletic Trainer healthcare provider located in FARGO, North Dakota. NPI 1609228048 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · FARGO, ND
Registration Details
- NPI Number
- 1609228048
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2016 (10.052849732136 yrs)
- Last Updated
- Jul 11, 2016
Practice Information
- Address
-
5200 21ST AVE SAPT. #201FARGO, ND, 581037787Browse ND providers · Browse ZIP 58103
- Phone
- 7013614730
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in FARGO, ND
| Name | Credential | NPI |
|---|---|---|
| THOMAS MICHAEL PETERSON | ATC | 1891755823 |
| DONALD BRUENJES | ATC | 1881706075 |
| MR. TRAVIS JON SHOCK | ATC | 1689760845 |
| PATRICK ALLEN LACINA | ATC | 1841380011 |
| JENNIFIER R JOHNSRUD | ATC | 1558448373 |
| MR. BRADLEY DEAN REED | ATC | 1154409944 |
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.