NPI 1053963835

Devante Lorenzo Frazier, ATC

Practitioner Athletic Trainer Fort Collins, CO

Practice location

Address: 141 Moby Arena, Fort Collins, CO 80523-0001
Phone: (970) 491-6756
Mailing address: 2001 Rosen Dr APT 1-206, Fort Collins, CO 80528-2001

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT.0002029 (CO)

Other Specialist/Technologist providers in Colorado →

Registry record

NPI: 1053963835
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2019
Record last updated: 12 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.