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

MR. TERRY L DEZEEUW, ATC

Active Sole Proprietor

MR. TERRY L DEZEEUW, ATC is a Athletic Trainer healthcare provider located in FORT COLLINS, Colorado. NPI 1437176120 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · FORT COLLINS, CO

Registration Details

NPI Number
1437176120
Provider Type
Individual
Gender
Male
NPI Issued
Jul 17, 2006 (19.893448858572 yrs)
Last Updated
Jul 8, 2007
License
36000536A (IN)
Sole Proprietor
Yes

Practice Information

Address
COLORADO STATE UNIVERSITY
MCGRAW ATHLETIC CENTER
FORT COLLINS, CO, 805230001
Browse CO providers · Browse ZIP 80523
Phone
9704916756
Fax
9704916167
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in FORT COLLINS, CO

Name Credential NPI
MR. TAO LEE LAND ATC,LAT 1114995503
CHAD SMIDT ATC 1457316689
MR. GREGORY A JENSEN MS, ATC, EMT-B 1154370427
MRS. MOLLIE KATHRYN RESSLER MPT 1699795906
MR. MACKENZIE LUKE MCDONALD ATC, CSCS 1598870602
MS. JORDAN NICOLE KNIGHT ATC 1851583942
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.