Individual
MISS EMILY ELIZABETH PUTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
605 E J ST STE 200, FOREST CITY, IA 50436-1664
(641) 585-1550
Mailing address
605 E J ST STE 200, FOREST CITY, IA 50436-1664
(641) 585-1550
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001141
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001141
STATE LICSENSURE
IA
Enumeration date
10/02/2013
Last updated
03/02/2020
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