Individual
ANDREW W FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
700 COLLEGE DRIVE, REGENTS CENTER, DECORAH, IA 52101
(641) 541-0168
Mailing address
110 COURT ST APT 2, DECORAH, IA 52101-1784
(641) 541-0168
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
093594
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093594
STATE OF IOWA BOARD OF ATHLETIC TRAINING
IA
Enumeration date
02/26/2019
Last updated
02/26/2019
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