Individual
MRS. LEAH GRACE GERBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT, MAT
Contact information
Practice address
1200 GRANDVIEW AVE, DES MOINES, IA 50316-1529
(515) 263-6144
Mailing address
645 SE CAREFREE LN, WAUKEE, IA 50263-9647
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001090
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS
IA
Enumeration date
11/21/2017
Last updated
11/21/2017
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