Individual
MR. ERIC EDWARD KNUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC-LAT
Contact information
Practice address
3333 18TH ST, BETTENDORF, IA 52722-2775
(563) 332-4516
(563) 332-8761
Mailing address
4535 APPLE VALLEY DR, BETTENDORF, IA 52722-2044
(563) 332-9190
(563) 332-8761
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000219
IA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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