Individual
CARTER TIFFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
534 WALLACE RD, AMES, IA 50011-4008
(712) 339-7447
Mailing address
600 JACKSON AVE, SPIRIT LAKE, IA 51360-1455
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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