Chad Alan Derby, ATC
Specialist/Technologist, Athletic Trainer in Oskaloosa, IA. Individual provider (NPI-1).
NPI number1295960292
StatusActive
Last updated in NPPESMay 19, 2009
Details
- NPI
- 1295960292
- Entity type
- Individual (NPI-1)
- Name
- Mr. Chad Alan Derby
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 19, 2009
- Last updated
- May 19, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 000722 | IA | Yes |
Practice location
201 Trueblood AveOskaloosa, IA 52577-1757
Phone 641-673-1093 · Fax 641-673-1373
Mailing address
201 Trueblood AveOskaloosa, IA 52577-1757
Phone 641-673-1093 · Fax 641-673-1373
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All 12 Athletic Trainer providers in Oskaloosa · All 332 providers in Oskaloosa
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