Individual
MR. CHAD MICHAEL LIBBY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
1220 1ST AVE NE, COE COLLEGE, EBY FIELDHOUSE, CEDAR RAPIDS, IA 52402-5008
(319) 399-8014
Mailing address
702 TIPPERARY RD, IOWA CITY, IA 52246-2791
(319) 337-2764
(319) 399-8721
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00273
IA
Other
Enumeration date
01/18/2006
Last updated
07/08/2007
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