Terry Robert Beeck, LAT/ATC
Individual provider Active NPI Athletic Trainer · Green Bay, WI
NPI 1629066451 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1629066451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 192-039 (WI)
- Practice address
- 1630 Commanche Ave
Green Bay, WI 54313-5753 - Phone
- (920) 430-4750
- NPI assigned
- Oct 6, 2005
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 192-039 | WI | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 192-039 | WI | Yes |
Addresses
Primary practice location
1630 Commanche Ave
Green Bay, WI 54313-5753
Mailing address
805 Jordan Rd
De Pere, WI 54115-3206
Phone (920) 339-5167
Other providers in Green Bay, WI
- Brennan Beck
- Dennis John Beck Jr.
- Stephanie Becken
- Kari Becker
- Sabeeha S Bedi
- Tracey W Befay
- Sierra S Beggs
- Abbigail Lee Behmlander
- Mehrdad Behnia
- Allison Marie Behnke
All providers in Green Bay, WI · Athletic Trainer in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.