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

Mr. Timothy D Miesmer, ATC

Individual provider Specialist · NPI 1962670307

Mr. Timothy D Miesmer, ATC is a Specialist in Deland, Florida. Practices as a sole proprietor. Licensed in Florida and Kentucky.

Licensed in
FL, KY
In the registry since
2008
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

421 N Woodland Blvd Unit 8317
Deland, FL 32723-8418
Phone: (859) 248-5467
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AL5565 (FL)
Specialist Taxonomy 174400000X · Licence AT1210 (KY)

Record details

NPI number1962670307
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedFebruary 20, 2008
Last updated in NPPESMarch 18, 2020
Certification dateMarch 18, 2020

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