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

Samuel Fedo, ATC

Individual provider Rehabilitation Practitioner · NPI 1639131279

Samuel Fedo, ATC is a Rehabilitation Practitioner in Burnsville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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

501 E Nicollet Blvd Ste 100
Burnsville, MN 55337-6732
Phone: (952) 460-4900
Fax: (952) 460-4901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X · Licence 1739 (MN)

Record details

NPI number1639131279
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedApril 6, 2006
Last updated in NPPESFebruary 2, 2011
Mailing address501 E Nicollet Blvd, Suite 100, Burnsville, MN 55337-6732

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