Individual
CARISSA LEIGH TIGGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1201 10TH AVE, GRINNELL, IA 50112-1200
(641) 269-9744
Mailing address
1201 10TH AVE, GRINNELL, IA 50112-1200
(641) 269-9744
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
079429
IA
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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