Individual
HAYLEY SPOELSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
118 N COPELAND LN, NORTH LIBERTY, IA 52317-9359
(641) 295-5151
Mailing address
118 N COPELAND LN, NORTH LIBERTY, IA 52317-9359
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000035139
ATHLETIC TRAINER
—
Enumeration date
12/30/2019
Last updated
12/30/2019
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