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

Individual provider Athletic Trainer · NPI 1851906887

Teddy Ray Gildersleeve is an Athletic Trainer in Lindstrom, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

37320 Oriole Ave
Lindstrom, MN 55045-9109
Phone: (715) 501-0047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1851906887
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 15, 2020
Last updated in NPPESSeptember 15, 2020
Certification dateSeptember 9, 2020

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