Individual
BAILEY R TERPSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1229 C AVE E, OSKALOOSA, IA 52577-4246
(641) 672-3274
(641) 672-2702
Mailing address
PO BOX 254, LYNNVILLE, IA 50153-0254
(641) 891-5320
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001218
IA
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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