Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TERISA JOANN ZIMMERMAN, MS, LAT, ATC
Active Sole ProprietorSports Medicine (EM) · MERIDIAN, ID
Registration Details
- NPI Number
- 1194494492
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 9, 2021 (4.616843788858 yrs)
- Last Updated
- Sep 9, 2021
- License
-
AT-774 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2000 S MILLENIUM WAYMERIDIAN, ID, 836421551Browse ID providers · Browse ZIP 83642
- Phone
- 2088718359
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
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.