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

BRANDON JAMES TETRAULT, ATC

Active Sole Proprietor

BRANDON JAMES TETRAULT, ATC is a Athletic Trainer healthcare provider located in GRAND FORKS, North Dakota. NPI 1659671980 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · GRAND FORKS, ND

Registration Details

NPI Number
1659671980
Provider Type
Individual
Gender
Male
NPI Issued
Nov 3, 2010 (15.754420970063 yrs)
Last Updated
Aug 15, 2023
Licenses
953-22 (ND)
2601001062 (MI)
Sole Proprietor
Yes

Practice Information

Address
UNIVERSITY OF NORTH DAKOTA
1301 N COLUMBIA RD
GRAND FORKS, ND, 582020001
Browse ND providers · Browse ZIP 58202
Phone
7016101060
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in GRAND FORKS, ND

Name Credential NPI
STEFANIE ANN PARSONS ATC 1891866356
JENNIFER ROSE ESTVOLD ATC 1699832360
ERIC TIMOTHY SAND ATC 1700901386
AUDREY ANN RAMBOUGH ATC,LAT 1528280112
MARK ANDREW ROMANICK P.T., A.T.C. 1063629301
SARA ELIZABETH BJERKE ATC 1669681425
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.