Thomas Dettlaff
Thomas Dettlaff is an Athletic Trainer in De Pere, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
1886 Little Valley CtDe Pere, WI 54115-7901
Phone: (920) 606-3489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1912375411 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 14, 2015 |
| Last updated in NPPES | September 14, 2015 |
Other providers in De Pere
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Heather Erfurt, MS, LAT, CES
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-
Samuel Alan Heling, LAT
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-
Brian Jp McWilliams, MS, LAT, CSCS, CEAS
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Connon Lee Piencikowski, DC
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