Individual
BAILEY SIEBRECHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4702 PUEBLO ST SW, CEDAR RAPIDS, IA 52404-7377
(319) 432-1636
Mailing address
4702 PUEBLO ST SW, CEDAR RAPIDS, IA 52404-7377
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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