Individual
HOLLY MAE IVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
509 UNIVERSITY DRIVE, EAU CLAIRE, WI 54701-5470
(785) 806-5556
Mailing address
2435 SE TECUMSEH RD, TECUMSEH, KS 66542-9327
(785) 806-5556
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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