Individual
CARLA IKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 KENDALL DR, EUFAULA, AL 36027-1459
(920) 765-0403
Mailing address
208 KENDALL DR, EUFAULA, AL 36027-1459
(920) 765-0403
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2537
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
WI
Other
Enumeration date
04/12/2016
Last updated
09/30/2021
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