MR. Chad Alan Derby, ATC

NPI #1295960292 in Oskaloosa, Iowa

Provider Information

NPI Number
1295960292
Entity Type
Individual
Name
MR. Chad Alan Derby, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
May 19, 2009
Last Updated
May 19, 2009

Practice Location

Address
201 TRUEBLOOD AVE
State
Iowa
ZIP Code
52577-1757
Phone
(641) 673-1093

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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