Individual
TYRELL MICHEAL LAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
543 WALLACE RD, AMES, IA 50011-0001
(515) 294-4111
Mailing address
1312 RIVER DR, SIOUX CITY, IA 51109-1146
(712) 454-9108
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
12/05/2025
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