Individual
STEPHANIE KIM MOERMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC, LAT
Contact information
Practice address
218 E 4TH ST APT B4, SPENCER, IA 51301-5158
(712) 260-8027
Mailing address
218 E 4TH ST APT B4, SPENCER, IA 51301-5158
(712) 260-8027
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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