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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TERISA JOANN ZIMMERMAN, MS, LAT, ATC

Active Sole Proprietor

TERISA JOANN ZIMMERMAN, MS, LAT, ATC is a Sports Medicine (EM) healthcare provider located in MERIDIAN, Idaho. NPI 1194494492 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (EM) · MERIDIAN, ID

Registration Details

NPI Number
1194494492
Provider Type
Individual
Gender
Female
NPI Issued
Sep 9, 2021 (4.7430583133359 yrs)
Last Updated
Sep 9, 2021
License
AT-774 (ID)
Sole Proprietor
Yes

Practice Information

Address
2000 S MILLENIUM WAY
MERIDIAN, ID, 836421551
Browse 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.