Individual
TRAVIS DIBBET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1200 GRANDVIEW AVE, DES MOINES, IA 50316-1529
(515) 263-6045
Mailing address
5092 TIMBERLINE DR, WEST DES MOINES, IA 50265-5430
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000815
IA
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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