Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THEODORE VANDERMEUSE, ATC/LAT
ActiveAthletic Trainer · PORTAGE, WI
Registration Details
- NPI Number
- 1326456245
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 23, 2014 (11.746554934992 yrs)
- Last Updated
- Jul 23, 2014
Practice Information
- Address
-
2817 NEW PINERY RDPORTAGE, WI, 539019240Browse WI providers · Browse ZIP 53901
- Phone
- 6087456290
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in PORTAGE, WI
| Name | Credential | NPI |
|---|---|---|
| MR. MATTHEW STEVEN BEKKEDAL | A.T.C. | 1295945046 |
| MR. JASON SCOTT CERKONEY | LAT | 1891980504 |
| STEVEN ALLISON | LAT | 1689917189 |
| ANDREW JAY ACKER | ATC | 1821497165 |
| DELANEY MARIE SIMON | LAT, ATC | 1093104739 |
| BRIDGET LYN DAVIDSON | MAT, LAT, ATC | 1952054199 |
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.