Alyssa L. Fredericks
Athletic Trainer · Polacca, AZ
Practice location
Hwy 264 Milepost 388Unit 40
Polacca, AZ 86042
- Phone
- (928) 737-0414
NPI record
- NPI
- 1497222681
- Entity type
- Individual (Type 1)
- Enumeration date
- October 26, 2018
- Last updated
- October 26, 2018
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
ATR-001676 | AZ |
Mailing address
PO Box 32Kykotsmovi, AZ 86039-0032
- Phone
- (928) 514-3402
About Alyssa Fredericks
Alyssa L. Fredericks is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is Hwy 264 Milepost 388, Unit 40, Polacca, AZ 86042. The NPI number 1497222681 was assigned on October 26, 2018 and the record was last updated on October 26, 2018.
Alyssa Fredericks lists a license in the registry: #ATR-001676 (AZ) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Alyssa L. Fredericks?
The NPI number is 1497222681.
What is the phone number of Alyssa Fredericks?
The phone number listed for the practice location is (928) 737-0414.
Where is Alyssa Fredericks located?
Hwy 264 Milepost 388, Unit 40, Polacca, AZ 86042.
What is the taxonomy code for Alyssa Fredericks?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.