Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TIMOTHY D MIESMER, ATC
Active Sole ProprietorMR. TIMOTHY D MIESMER, ATC is a Athletic Trainer healthcare provider located in DELAND, Florida. NPI 1962670307 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · DELAND, FL
Registration Details
- NPI Number
- 1962670307
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 20, 2008 (18.437768399628 yrs)
- Last Updated
- Mar 18, 2020
- Licenses
-
AT1210 (KY)AL5565 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
421 N WOODLAND BLVD UNIT 8317DELAND, FL, 327238418Browse FL providers · Browse ZIP 32723
- Phone
- 8592485467
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in DELAND, FL
| Name | Credential | NPI |
|---|---|---|
| MR. JOHN EARL MCFARLAND | ATC,LAT,CSCS | 1144283326 |
| JEFFREY WILLIAM BISHOP | ATC, LAT | 1568429017 |
| MRS. ERICA ELISABETH BIRD | MSPT, ATC, LAT | 1417096215 |
| MR. JUDSON FANN | MS, ATC, LAT, CSCS | 1982806519 |
| MS. STEPHANIE MARIE PRUITT | ATC, LAT | 1255534210 |
| MR. EDRIAN J HAIRSTON | MS ATC LAT | 1720255847 |
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.