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

Thomas Dettlaff

Individual provider Athletic Trainer · NPI 1912375411

Thomas Dettlaff is an Athletic Trainer in De Pere, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
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Practice location Address checks out

1886 Little Valley Ct
De Pere, WI 54115-7901
Phone: (920) 606-3489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912375411
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 14, 2015
Last updated in NPPESSeptember 14, 2015
Mailing address1886 Little Valley Ct, De Pere, WI 54115-7901

Other providers in De Pere