Individual
JACOB DEAN TUTJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1717 S GRAND AVE # 714202, AMES, IA 50010-6695
(712) 324-3138
Mailing address
1717 S GRAND AVE # 714202, AMES, IA 50010-6695
(712) 324-3138
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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