Individual
NATASHA NICOLE GOURLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT, EMT-PM
Contact information
Practice address
504 N CLEVELAND ST, MOUNT AYR, IA 50854-2201
(641) 344-2707
(641) 464-4474
Mailing address
1260 COUNTY HIGHWAY J23, CLEARFIELD, IA 50840-8814
(641) 344-2707
(641) 464-4474
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000693
IA
Other
Enumeration date
08/14/2022
Last updated
08/14/2022
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