Individual provider · Type 1 NPI
Timothy J. Demchak, LAT, ATC
Specialist · Terre Haute, IN
NPI number
1497869754
Active
Practice location
2 W Lawrin Blvd
Terre Haute, IN 47803-2070
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 36001072A (IN) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1497869754
Timothy J. Demchak, LAT, ATC's National Provider Identifier is 1497869754, issued on Aug 17, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Terre Haute, IN. The record was last updated on Jul 8, 2007.