Kelsey Jackson Fredericks, LAT, ATC
NPI #1528729092 in Clovis, New Mexico
Provider Information
- NPI Number
- 1528729092
- Entity Type
- Individual
- Name
- Kelsey Jackson Fredericks, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC
- Enumeration Date
- Jan 6, 2022
- Last Updated
- Jan 6, 2022
Practice Location
- Address
- 2005 MILLER ST
- City
- Clovis
- State
- New Mexico
- ZIP Code
- 88101-8660
- Phone
- (505) 269-5962
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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