Katelyn Fischbach, MS, LAT, ATC
Individual provider Active NPI Athletic Trainer · Saint Peter, MN
NPI 1194176529 · NPPES record last updated Jun 3, 2020
Key facts
- NPI
- 1194176529
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 3348 (MN)
- Practice address
- 800 W College Ave
Saint Peter, MN 56082-1485 - Phone
- (507) 933-8000
- NPI assigned
- Jun 27, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3348 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gustavus Adolphus College | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | 3348 | MN | Yes |
Addresses
Primary practice location
800 W College Ave
Saint Peter, MN 56082-1485
Mailing address
1015 Hope St Apt 315
Mankato, MN 56001-2293
Other practice location 1
425 11th Ave S
South Saint Paul, MN 55075-2526
Phone (651) 319-2118
Other providers in Saint Peter, MN
- Emily Ann Evan
- Stefania Faraca
- Victoria Filzen
- Joseph Robert Finn
- Kendra Lee Finn
- Tiana Monique Fitzsimmons
- Kristina Flattum
- Gabrielle Flesher
- James A Folden
- Foot & Ankle Clinic of St. Peter, Inc.
All providers in Saint Peter, MN · Athletic Trainer in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.