Individual
PETER HARDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
301 N ANKENY BLVD, SUITE 200, ANKENY, IA 50023-1730
(515) 965-1422
(515) 965-1449
Mailing address
301 N ANKENY BLVD, SUITE 200, ANKENY, IA 50023-1730
(515) 965-1422
(515) 965-1449
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001074
IA
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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