Individual
STEPHANIE JEAN HAMERSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
241 LINDEN AVE, COUNCIL BLUFFS, IA 51503-0447
(402) 676-5789
Mailing address
241 LINDEN AVE, COUNCIL BLUFFS, IA 51503-0447
(140) 267-6578
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
24162
NE
2255A2300X
Athletic Trainer
Primary
917
NE
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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