Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY AARON STANLEY FRACASSI, LAT
Active Sole ProprietorTIMOTHY AARON STANLEY FRACASSI, LAT is a Athletic Trainer healthcare provider located in SOUTHFIELD, Michigan. NPI 1629474648 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SOUTHFIELD, MI
Registration Details
- NPI Number
- 1629474648
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2014 (11.695035605975 yrs)
- Last Updated
- Nov 18, 2014
- License
-
2601000720 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
28650 LAHSER RDSOUTHFIELD, MI, 480342020Browse MI providers · Browse ZIP 48034
- Phone
- 2487891068
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in SOUTHFIELD, MI
| Name | Credential | NPI |
|---|---|---|
| MS. EBONNIE CAMILLE WEST | A.T.C | 1598809428 |
| MS. JANET BALOWSKI | MS, ATC | 1235368689 |
| REBECCA AUSTIN | AT, ATC | 1548684830 |
| BRITTANY TYLER | ATC | 1194272690 |
| AUSTYN LYNNELL BOULWARE | — | 1326504994 |
| MRS. JANELLE DORSEY | — | 1801493697 |
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.