Individual
KELLY HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 TRITON CIR, FORT DODGE, IA 50501-5798
(515) 576-0099
Mailing address
9725 SALEM CHURCH RD, NORTH CHESTERFIELD, VA 23237-3127
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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