Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madeleine Grace Derbis

Individual provider Athletic Trainer · NPI 1144999012

Madeleine Grace Derbis is an Athletic Trainer in Eden Prairie, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2021

Practice location Address checks out

16500 W 78th St # B
Eden Prairie, MN 55346-4302
Phone: (763) 614-7021
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (MN)

Record details

NPI number1144999012
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 13, 2021
Last updated in NPPESJuly 6, 2023
Certification dateJuly 6, 2023
Mailing address10753 23rd St Ne, Saint Michael, MN 55376-7502

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