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

Scott Corneliussen, ATC

Individual provider Athletic Trainer · NPI 1609228048

Scott Corneliussen, ATC is an Athletic Trainer in Fargo, North Dakota. Licensed in Minnesota. Registered with an NPI since 2016.

Licensed in
MN
In the registry since
2016
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

5200 21st Ave S Apt #201
Fargo, ND 58103-7787
Phone: (701) 361-4730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (MN)

Record details

NPI number1609228048
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJuly 11, 2016
Last updated in NPPESJuly 11, 2016
Mailing address5200 21st Ave S, Apt. #201, Fargo, ND 58103-7787

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