Individual
MIRANDA K CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
408 ADAMS ST, MUSCATINE, IA 52761-5128
(563) 260-9101
Mailing address
408 ADAMS ST, MUSCATINE, IA 52761-5128
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
082946
IA
Other
Enumeration date
09/02/2015
Last updated
01/23/2019
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