Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. NICHOLAS RAY TJEERDSMA, ATC
ActiveMR. NICHOLAS RAY TJEERDSMA, ATC is a Athletic Trainer healthcare provider located in FORT WAYNE, Indiana. NPI 1912348210 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · FORT WAYNE, IN
Registration Details
- NPI Number
- 1912348210
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2013 (13.056899858581 yrs)
- Last Updated
- Jan 5, 2018
Practice Information
- Address
-
3946 ICE WAYFORT WAYNE, IN, 468081735Browse IN providers · Browse ZIP 46808
- Phone
- 3199397102
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| ANTHONY W GAMBILL | A.T.C., CSCS | 1588658140 |
| MR. JEREMY R. GALL | ATC | 1063409332 |
| MRS. JENNIFER JEAN BEER | MA, LAT, ATC | 1003880618 |
| MR. JEFFREY ALLEN BEER | MA, LAT, ATC, CEAS | 1285608877 |
| EMILY ANN TUMBLESON | LAT, ATC | 1730157546 |
| KEVIN MARK WATSON | ATC/L | 1992773972 |
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.