Individual
EMILY ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
421 E 14TH ST, SPENCER, IA 51301-4543
(712) 363-0984
Mailing address
421 E 14TH ST, SPENCER, IA 51301-4543
(712) 363-0984
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
073880
IA
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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