IndividualActive
Alex Vandeusen
NPI 1790101186 · Athletic Trainer · Terre Haute, IN
Provider details
- NPI number
- 1790101186
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 36002010A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1606 N 7th St
Terre Haute, IN 47804-2706
Phone: (812) 238-7000
Approximate (ZIP-level) locationGet directions
Mailing address
4300 Old Paris Rd
West Terre Haute, IN 47885-9025
Registry dates
- Enumerated
- 2014-03-10
- Last updated
- 2017-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.