Individual
MR. ZACHERY J BRIGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT, CES
Contact information
Practice address
1822 S 4TH ST, AMES, IA 50011-9641
(517) 474-8425
Mailing address
2810 STANGE RD UNIT 2, AMES, IA 50010-4017
(517) 474-8425
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
101230
IA
Other
Enumeration date
12/29/2016
Last updated
06/04/2020
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