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

Brandon James Tetrault, ATC

Individual provider Athletic Trainer · NPI 1659671980

Brandon James Tetrault, ATC is an Athletic Trainer in Grand Forks, North Dakota. Practices as a sole proprietor. Licensed in Michigan and North Dakota.

Licensed in
MI, ND
In the registry since
2010
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Partly verified

Some contact details are missing from the federal record.

University Of North Dakota 1301 N Columbia Rd
Grand Forks, ND 58202-0001
Phone: (701) 610-1060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 953-22 (ND)
Athletic Trainer Taxonomy 2255A2300X · Licence 2601001062 (MI)

Record details

NPI number1659671980
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedNovember 3, 2010
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023

Other providers in Grand Forks