Individual
MISS TRACI LYNN STONE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSE, ATC, LAT, CSCS
Contact information
Practice address
3303 REBECCA ST, SIOUX CITY, IA 51104
(180) 066-2330
Mailing address
2416 S CLINTON ST, SIOUX CITY, IA 51106-3551
(712) 251-4415
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00559
IA
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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