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

Jacqueline Dufour, AT

Individual provider Athletic Trainer · NPI 1568142495

Jacqueline Dufour, AT is an Athletic Trainer in Roseville, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023

Practice location Address checks out

20905 E 12 Mile Rd
Roseville, MI 48066-6501
Phone: (586) 204-0070
Fax: (586) 204-0080
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2601000327 (MI)

Record details

NPI number1568142495
Entity typeIndividual (Type 1)
GenderFemale
Credentials AT
Sole proprietorNo
NPI enumeratedJuly 25, 2023
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025
Mailing address33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258

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