Theodore Vandermeuse, ATC/LAT Valid NPI

Individual provider · Athletic Trainer · Portage, WI

NPI

1326456245

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

Sex

Male

Sole proprietor

No

Enumerated

2014-07-23

Last updated

2014-07-23