Individual
MR. DEREK WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, CSCS
Contact information
Practice address
14455 CLAY TERRACE BLVD, CARMEL, IN 46032-3605
(317) 415-5747
Mailing address
950 W POPLAR ST APT SUITE, ZIONSVILLE, IN 46077-1224
(317) 446-5341
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002539A
IN
Other
Enumeration date
04/24/2020
Last updated
05/07/2026
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