Individual
KATIE JO ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4090 MONARCH AVE, MARION, IA 52302-6186
(319) 491-5895
Mailing address
4090 MONARCH AVE, MARION, IA 52302-6186
(319) 491-5895
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IA
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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