Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MADELEINE GRACE DERBIS
Active Sole ProprietorMADELEINE GRACE DERBIS is a Athletic Trainer healthcare provider located in EDEN PRAIRIE, Minnesota. NPI 1144999012 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · EDEN PRAIRIE, MN
Registration Details
- NPI Number
- 1144999012
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 13, 2021 (4.8940885077645 yrs)
- Last Updated
- Jul 6, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
16500 W 78TH ST # BEDEN PRAIRIE, MN, 553464302Browse MN providers · Browse ZIP 55346
- Phone
- 7636147021
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in EDEN PRAIRIE, MN
| Name | Credential | NPI |
|---|---|---|
| MR. THOMAS HUNKELE II | MPT, ATC | 1972552255 |
| JAMES HERMAN RAKOW | AT | 1154349918 |
| MR. ROBERT THOMAS ROCHE III | A.T.C. | 1366464182 |
| MRS. EMILY JUNE ANTONY | ATC, MED | 1710019583 |
| MICHELLE ZENZ | ATC | 1386763886 |
| GARY K SMITH | — | 1689898827 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.