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Timothy Fracassi, LAT
NPI 1629474648 · on the registry since 2014 · sole proprietor
Practice
- Address
- 28650 Lahser Rd
Southfield, MI 48034 - Phone
- (248) 789-1068
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-11-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan