Chad Derby, ATC

NPI 1295960292 · on the registry since 2009 · sole proprietor

Practice

Address: 201 Trueblood Ave
Oskaloosa, IA 52577
Phone: (641) 673-1093
Fax: (641) 673-1373
Organisation at this address: William Penn University
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: IA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-05-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa