Provider Demographics
NPI:1609831601
Name:CHIZEK, TORRIE A (ATC, CSCS)
Entity Type:Individual
Prefix:
First Name:TORRIE
Middle Name:A
Last Name:CHIZEK
Suffix:
Gender:F
Credentials:ATC, CSCS
Other - Prefix:
Other - First Name:TORRIE
Other - Middle Name:A
Other - Last Name:BJELLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC, CSCS
Mailing Address - Street 1:2055 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:BRITT
Mailing Address - State:IA
Mailing Address - Zip Code:50423-8577
Mailing Address - Country:US
Mailing Address - Phone:641-843-3650
Mailing Address - Fax:
Practice Address - Street 1:1000 4TH ST SW
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-2800
Practice Address - Country:US
Practice Address - Phone:641-430-3047
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA004702255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer