NPI 1295960292

Chad Alan Derby, ATC

Practitioner Athletic Trainer Oskaloosa, IA

Practice location

Address: 201 Trueblood Ave, Oskaloosa, IA 52577-1757
Phone: (641) 673-1093
Fax: (641) 673-1373

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 000722 (IA)

Other Specialist/Technologist providers in Iowa →

Registry record

NPI: 1295960292
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 May 2009
Record last updated: 19 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.