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COLLIN BLAKE FREDERICK LAT, ATC
NPI 1770050536
Specialist/Technologist - Athletic Trainer in Gainesville, GA

Active since October 30, 2018
3005 SARDIS RD, GAINESVILLE, GA 30506(912) 294-7908 Get Directions Write a Review

NPPES record last updated: October 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Collin Blake Frederick Lat, Atc NPPES

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

COLLIN BLAKE FREDERICK LAT, ATC (NPI 1770050536) is an individual athletic trainer provider in Gainesville, Georgia, licensed in Georgia (AT003432) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1770050536
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameCOLLIN BLAKE FREDERICKCredential: LAT, ATC
Location Address3005 SARDIS RDGainesville, GA 30506-2232
Mailing Address76 Horserange Vista CtCleveland, GA 30528-2387 · (912) 294-7908
Phone(912) 294-7908
Sole ProprietorNo
Enumeration DateOctober 30, 2018
✔ NPI 1770050536 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 GA · AT003432
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.
3005 SARDIS RD, Gainesville, GA 30506
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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 Collin Frederick's NPI number?

The NPI number for Collin Frederick is 1770050536. It was assigned to this individual provider in the NPPES registry on October 30, 2018.

Where is Collin Frederick located?

Collin Frederick practices at 3005 Sardis Rd, Gainesville, GA 30506. The listed phone number is (912) 294-7908.

What is Collin Frederick'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 Collin Frederick was last updated on October 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.