Individual
ANTHONY PENNUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LAT
Contact information
Practice address
2701 PRAIRIE MEADOW DR, IOWA CITY, IA 52242-8001
(319) 467-8317
(319) 467-8247
Mailing address
2234 10TH ST APT 2, CORALVILLE, IA 52241-1353
(312) 802-9623
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
093030
IA
Other
Enumeration date
08/06/2014
Last updated
05/06/2020
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