Fredrick Earl Worthy, ATC/L
Specialist/Technologist, Athletic Trainer in Wiggins, MS. Individual provider (NPI-1).
NPI number1679536734
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1679536734
- Entity type
- Individual (NPI-1)
- Name
- Mr. Fredrick Earl Worthy
- Credential
- ATC/L
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT0152 | MS | Yes |
Practice location
400 Border Ave EWiggins, MS 39577-2822
Phone 601-928-5492
Mailing address
328 Stillway DrWiggins, MS 39577-2902
Phone 601-503-0824 · Fax 601-928-6874
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