Individual
TARYN PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
812 UNIVERSITY ST, CENTRAL COLLEGE BOX 6600, PELLA, IA 50219-1902
(641) 628-5453
Mailing address
812 UNIVERSITY ST, CENTRAL COLLEGE BOX 6600, PELLA, IA 50219-1902
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
077474
IA
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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