Individual
AMBER ROSE SUCKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2865 NEWELL AVE, FREDERICKSBURG, IA 50630-9515
(480) 751-8368
Mailing address
2865 NEWELL AVE, FREDERICKSBURG, IA 50630-9515
(480) 751-8368
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0711
AZ
Other
Enumeration date
07/18/2007
Last updated
07/19/2007
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