Individual
LINDSEY REMIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
101 7TH ST SW, ORANGE CITY, IA 51041-1923
(712) 707-7319
Mailing address
101 7TH ST SW, ORANGE CITY, IA 51041-1923
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
074069
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074069
IOWA STATE LICENSURE NUMBER
IA
01
—
2000016316
ATHLETIC TRAINING CERTIFICATION NUMBER
—
Enumeration date
12/16/2015
Last updated
12/16/2015
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