JENNIFER DETLEFSEN ATC, MHA
NPI 1053825067
Specialist/Technologist - Athletic Trainer in Bethlehem, CT

Q: What is Jennifer Detlefsen's NPI number?

The NPI number for Jennifer Detlefsen is 1053825067. It was assigned to this individual provider in the NPPES registry on November 29, 2017.

Q: What is Jennifer Detlefsen's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Active since November 29, 2017

57 LONG MEADOW RD, BETHLEHEM, CT 06751(203) 405-3369 Get Directions Write a Review

NPPES record last updated: November 29, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jennifer Detlefsen Atc, Mha NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER DETLEFSEN ATC, MHA (NPI 1053825067) is an individual athletic trainer provider in Bethlehem, Connecticut, licensed in Connecticut (764) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1053825067

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameJENNIFER DETLEFSENCredential: ATC, MHA

Location Address57 LONG MEADOW RDBethlehem, CT 06751-1116

Mailing Address57 Long Meadow RdBethlehem, CT 06751-1116 · (203) 405-3369

Phone(203) 405-3369

Sole ProprietorYes

Enumeration DateNovember 29, 2017

✔ NPI 1053825067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in CT · 764

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

57 LONG MEADOW RD, Bethlehem, CT 06751

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Detlefsen's NPI number?

The NPI number for Jennifer Detlefsen is 1053825067. It was assigned to this individual provider in the NPPES registry on November 29, 2017.

Where is Jennifer Detlefsen located?

Jennifer Detlefsen practices at 57 Long Meadow Rd, Bethlehem, CT 06751. The listed phone number is (203) 405-3369.

What is Jennifer Detlefsen's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Jennifer Detlefsen was last updated on November 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.