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Contact Information

TERISA J ZIMMERMAN, MS, LAT, ATC
2000 S MILLENIUM WAY
MERIDIAN, ID83642-1551
 Phone: 208-871-8359
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for TERISA J ZIMMERMAN · (Female)

NPI # 1194494492
Status Active
Credentials MS, LAT, ATC
Entity Individual
Enumeration date 09/09/2021
Last updated 09/09/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # AT-774
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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