Provider Demographics
NPI:1770524902
Name:NOONAN, TERRANCE GERARD (ATC)
Entity type:Individual
Prefix:MR
First Name:TERRANCE
Middle Name:GERARD
Last Name:NOONAN
Suffix:
Gender:M
Credentials:ATC
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Mailing Address - Street 1:3919 BEAVER RIDGE TRAIL
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613
Mailing Address - Country:US
Mailing Address - Phone:319-268-9318
Mailing Address - Fax:
Practice Address - Street 1:2351 HUDSON ROAD
Practice Address - Street 2:HPC ROOM 003D UNIVERSITY OF NORTHERN IOWA
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-6414
Practice Address - Country:US
Practice Address - Phone:319-276-6414
Practice Address - Fax:319-273-7023
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2008-07-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA00123221700000X, 2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist