Individual
LAURA RAETHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 E J ST STE 400, FOREST CITY, IA 50436-1664
(641) 585-1550
Mailing address
816 W J ST, APT. 6B, FOREST CITY, IA 50436-1649
(715) 495-0104
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003394
IL
Other
Enumeration date
11/06/2012
Last updated
08/26/2014
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