Brad Michael Fraser, ATC
Specialist/Technologist, Athletic Trainer in Fairfield, OH. Individual provider (NPI-1).
NPI number1497370985
StatusActive
Last updated in NPPESJun 10, 2020
Details
- NPI
- 1497370985
- Entity type
- Individual (NPI-1)
- Name
- Brad Michael Fraser
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 10, 2020
- Certification date
- Jun 10, 2020
- Last updated
- Jun 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 004692 | OH | Yes |
Practice location
8800 Holden BlvdFairfield, OH 45014-2100
Phone 513-235-3065
Mailing address
1862 Creswell DrCincinnati, OH 45240-1535
Phone 513-235-3065
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