Individual
AMANDA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
1 UNIVERSITY PL, LAMONI, IA 50140-1641
(515) 745-1578
Mailing address
205 NE 13TH ST, GRIMES, IA 50111-1107
(515) 745-1578
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
092213
IA
Other
Enumeration date
07/09/2022
Last updated
07/09/2022
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