IndividualActive
Terisa Zimmerman, MS, LAT, ATC
NPI 1194494492 · Sports Medicine (Emergency Medicine) Physician · Meridian, ID
Provider details
- NPI number
- 1194494492
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MS, LAT, ATC
- Sex
- Female
- Sole proprietor
- Yes
- License
- AT-774 (ID)
Mailing address
2059 S Owyhee St
Boise, ID 83705-3343
Registry dates
- Enumerated
- 2021-09-09
- Last updated
- 2021-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.