Individual
MR. TREVOR PEZLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
5445 AVENUE O, FORT MADISON, IA 52627-9611
(319) 470-8896
Mailing address
5445 AVENUE O, FORT MADISON, IA 52627-9611
(319) 470-8896
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001202
IA
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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