NPI 1104262617
Chad Frederickson
Practice location
- Address
- Infirmary Rd, Baton Rouge, LA 70803-2401
- Phone
- (225) 578-5633
- Fax
- (225) 578-5655
Registered specialties (2)
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
Athletic Trainer
Registry record
- NPI
- 1104262617
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 May 2013
- Record last updated
- 1 May 2025
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.