Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alyssa L Fredericks

Individual provider Athletic Trainer · NPI 1497222681

Alyssa L Fredericks is an Athletic Trainer in Polacca, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2018

Practice location Address checks out

Hwy 264 Milepost 388 Unit 40
Polacca, AZ 86042
Phone: (928) 737-0414
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence ATR-001676 (AZ)

Record details

NPI number1497222681
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 26, 2018
Last updated in NPPESOctober 26, 2018
Mailing addressPo Box 32, Kykotsmovi, AZ 86039-0032

Other providers in Polacca