Theodore Vandermeuse, ATC/LAT
NPI #1326456245 in Portage, Wisconsin
Provider Information
- NPI Number
- 1326456245
- Entity Type
- Individual
- Name
- Theodore Vandermeuse, ATC/LAT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC/LAT
- Enumeration Date
- Jul 23, 2014
- Last Updated
- Jul 23, 2014
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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