Search › Kentucky › 2255A2300X
Michelle Fasano, AT, ATC
NPI 1063757219 · on the registry since 2012 · sole proprietor
Practice
- Address
- 650 Joel Dr
Fort Campbell, KY 42223 - Phone
- (847) 778-7280
- Organisation at this address
- Us Army
Nashville Vamc
Department Of Defense
Ach Blanchfield-Ft Campbell
Blanchfiled Army Community HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 989
Additional practice sites
- 11050 Mount Belvedere Blvd, Fort Drum, NY
- 110 Horton Field House, Normal, IL
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2255A2300X
2255A2300X
2255A2300X
2255A2300X - Licence states on file
- FL, NC, IL, WY, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky