Whalio Doctors

NPI 1063757219

Michelle Fasano, ATATC

Practitioner Athletic Trainer Fort Campbell, KY

Practice location

Address
650 Joel Dr, Fort Campbell, KY 42223-5318
Phone
(847) 778-7280

Registered specialties (5)

Athletic Trainer Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2601001564 (MI)
Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X
Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2402 (NC)
Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 096004795 (IL)
Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 068 (WY)

Registry record

NPI
1063757219
Entity type
Individual
Sex (as registered)
Female
NPI issued
29 Nov 2012
Record last updated
16 Oct 2023

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.