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Individual

TIMOTHY TRUPKE

Active
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Individual

TIMOTHY TRUPKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, ATC

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5384-024
WI
2255A2300X
Athletic Trainer

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40347200
WI
01
5384-024
PHYSICAL THERAPY LICENSE
WI
01
901497
NATA MEMBER #
Enumeration date
01/04/2007
Last updated
12/07/2021
About Stedi
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  • EDI platform