Individual
CURTIS R WADDINGHAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LAT ATC
Contact information
Practice address
270 SW 1ST ST, STE H, GRIMES, IA 50111
(515) 986-9667
(515) 986-9642
Mailing address
PO BOX 461, NEVADA, IA 50201-0461
(515) 382-3366
(515) 382-1576
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00458
IA
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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