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

MR. MATTHEW EDWARD FRERICKS, ATC, OTC

Active

MR. MATTHEW EDWARD FRERICKS, ATC, OTC is a Athletic Trainer healthcare provider located in WOODBURY, Minnesota. NPI 1659704492 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · WOODBURY, MN

Registration Details

NPI Number
1659704492
Provider Type
Individual
Gender
Male
NPI Issued
Aug 15, 2013 (12.959372207446 yrs)
Last Updated
Feb 7, 2020
Licenses
19-0604 (MN)
2556 (MN)

Practice Information

Address
710 COMMERCE DR
WOODBURY, MN, 551254919
Browse MN providers · Browse ZIP 55125
Phone
6519685000
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in WOODBURY, MN

Name Credential NPI
DR. PAUL M BRUNING DHA ATC 1518939099
ANDREW JOHN MORITZ ATC, CSCS 1952678443
STACEY S PETRIC ATC 1538433818
SARAH KATHLEEN PERRYMAN A.T.C. 1538415039
AARON WENKER A.T.C. 1588078091
ALISA JENSEN ATC, ATR 1528468550
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.