Timothy Feldmann, ATC, LAT

Individual provider Active NPI Athletic Trainer · Murfreesboro, NC

NPI 1083009104 · NPPES record last updated Apr 6, 2015

Key facts

NPI
1083009104
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
LAT-2530 (NC)
Practice address
1 University PL
Murfreesboro, NC 27855-1855
Phone
(252) 398-6291
Fax
(252) 398-6532
NPI assigned
Apr 6, 2015
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LAT-2530NCMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X LAT-2530 NC Yes

Addresses

Primary practice location

1 University PL
Murfreesboro, NC 27855-1855

Mailing address

211 University Dr
Apt 4
Murfreesboro, NC 27855-1853
Phone (919) 605-1677

Other providers in Murfreesboro, NC

All providers in Murfreesboro, NC · Athletic Trainer in North Carolina

Sources for this page

Verify at the official NPI Registry.