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

Michelle Fasano, AT, ATC

Individual provider Athletic Trainer · NPI 1063757219

Michelle Fasano, AT, ATC is an Athletic Trainer in Fort Campbell, Kentucky. Practices as a sole proprietor and works from 3 locations. Licensed in Florida, Illinois, Michigan and North Carolina and 1 more.

Licensed in
FL, IL, MI, NC, WY
In the registry since
2012
Specialties on file
5
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (847) 778-7280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 110 Horton Field House, Normal, IL 61790-9406 — (309) 438-7246
  • 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 — (315) 772-2778

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2601001564 (MI)
Athletic Trainer Taxonomy 2255A2300X (FL)
Athletic Trainer Taxonomy 2255A2300X · Licence 2402 (NC)
Athletic Trainer Taxonomy 2255A2300X · Licence 096004795 (IL)
Athletic Trainer Taxonomy 2255A2300X · Licence 068 (WY)

Record details

NPI number1063757219
Entity typeIndividual (Type 1)
GenderFemale
Credentials AT , ATC
Sole proprietorYes
NPI enumeratedNovember 29, 2012
Last updated in NPPESOctober 16, 2023
Certification dateOctober 3, 2022

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