MICHELLE FASANO AT, ATC
NPI 1063757219
Specialist/Technologist - Athletic Trainer in Fort Campbell, KY

Q: What is Michelle Fasano's NPI number?

The NPI number for Michelle Fasano is 1063757219. It was assigned to this individual provider in the NPPES registry on November 29, 2012.

Q: What is Michelle Fasano's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michelle Fasano was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 29, 2012

650 JOEL DR, FORT CAMPBELL, KY 42223(847) 778-7280 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 16, 2023, Jul 26, 2019, Jan 27, 2017 and 1 more (4 updates tracked since 2016).

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About Michelle Fasano At, Atc NPPES

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

MICHELLE FASANO AT, ATC (NPI 1063757219) is an individual athletic trainer provider in Fort Campbell, Kentucky, licensed in Michigan (2601001564) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1063757219

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameMICHELLE FASANOCredential: AT, ATC

Location Address650 JOEL DRFort Campbell, KY 42223-5318

Mailing Address650 Joel DrFort Campbell, KY 42223-5318

Phone(847) 778-7280

Sole ProprietorYes

Enumeration DateNovember 29, 2012

Last NPPES UpdateOctober 16, 20234 updates tracked since enumeration

NPPES CertifiedOctober 3, 2022

✔ NPI 1063757219 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

Licenses✔ Licensed in MI · 2601001564✔ Licensed in NC · 2402✔ Licensed in IL · 096004795✔ Licensed in WY · 068

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.

650 JOEL DR, Fort Campbell, KY 42223

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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