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KELSEY JACKSON FREDERICKS LAT, ATC
NPI 1528729092
Specialist/Technologist - Athletic Trainer in Clovis, NM

Active since January 06, 2022
2005 MILLER ST, CLOVIS, NM 88101(505) 269-5962 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kelsey Jackson Fredericks Lat, Atc NPPES

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

KELSEY JACKSON FREDERICKS LAT, ATC (NPI 1528729092) is an individual athletic trainer provider in Clovis, New Mexico, licensed in New Mexico (AT656) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1528729092
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameKELSEY JACKSON FREDERICKSCredential: LAT, ATC
Location Address2005 MILLER STClovis, NM 88101-8660
Mailing Address2005 Miller StClovis, NM 88101-8660 · (505) 269-5962
Phone(505) 269-5962
Sole ProprietorYes
Enumeration DateJanuary 6, 2022
NPPES CertifiedJanuary 6, 2022
✔ NPI 1528729092 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 NM · AT656
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.
2005 MILLER ST, Clovis, NM 88101
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Kelsey Fredericks's NPI number?

The NPI number for Kelsey Fredericks is 1528729092. It was assigned to this individual provider in the NPPES registry on January 6, 2022.

Where is Kelsey Fredericks located?

Kelsey Fredericks practices at 2005 Miller St, Clovis, NM 88101. The listed phone number is (505) 269-5962.

What is Kelsey Fredericks'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 Kelsey Fredericks was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.