Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THOMAS DETTLAFF
Active Sole ProprietorTHOMAS DETTLAFF is a Athletic Trainer healthcare provider located in DE PERE, Wisconsin. NPI 1912375411 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · DE PERE, WI
Registration Details
- NPI Number
- 1912375411
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 14, 2015 (10.890867594913 yrs)
- Last Updated
- Sep 14, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
1886 LITTLE VALLEY CTDE PERE, WI, 541157901Browse WI providers · Browse ZIP 54115
- Phone
- 9206063489
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Student (Health Education/Training)
Other Athletic Trainer Providers in DE PERE, WI
| Name | Credential | NPI |
|---|---|---|
| BRIAN JP MCWILLIAMS | MS, LAT, CSCS, CEAS | 1093865495 |
| HEATHER ERFURT | MS, LAT, CES | 1437524659 |
| EVAN TESKE | LAT, ATC | 1336508134 |
| LEAH WATERMOLEN | — | 1467962084 |
| SAMUEL ALAN HELING | LAT | 1932066388 |
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.