Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THAD MICHAEL DEWEESE, ATC-L
Active Sole ProprietorTHAD MICHAEL DEWEESE, ATC-L is a Athletic Trainer healthcare provider located in LIBERAL, Kansas. NPI 1538217252 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LIBERAL, KS
Registration Details
- NPI Number
- 1538217252
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 8, 2007 (19.593836745664 yrs)
- Last Updated
- Jul 8, 2007
- License
-
24-00040 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1801 N KANSAS AVELIBERAL, KS, 679012054Browse KS providers · Browse ZIP 67901
- Phone
- 6206292671
- Fax
- 6206263005
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in LIBERAL, KS
| Name | Credential | NPI |
|---|---|---|
| STEVEN KY ZIMMERMAN | LAT, ATC | 1699787325 |
| ELIZABETH ANN NOSBISCH | ATC | 1154521235 |
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.