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

Individual provider Athletic Trainer · NPI 1144794793

Michaela Ashlyn Fairbanks, ATC, LAT is an Athletic Trainer in Deer River, Minnesota. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

44711 County Road 18
Deer River, MN 56636-2148
Phone: (218) 368-7931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1144794793
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , LAT
Sole proprietorNo
NPI enumeratedJanuary 16, 2019
Last updated in NPPESApril 7, 2022
Certification dateApril 7, 2022