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

Theodore Vandermeuse, ATC/LAT

Individual provider Athletic Trainer · NPI 1326456245

Theodore Vandermeuse, ATC/LAT is an Athletic Trainer in Portage, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2014.

Licensed in
WI
In the registry since
2014

Practice location Address checks out

2817 New Pinery Rd
Portage, WI 53901-9240
Phone: (608) 745-6290
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (WI)

Record details

NPI number1326456245
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC/LAT
Sole proprietorNo
NPI enumeratedJuly 23, 2014
Last updated in NPPESJuly 23, 2014

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