Individual
ALEX SIETSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3475 KIWI AVE, SHELDON, IA 51201-8074
(712) 725-2534
Mailing address
3475 KIWI AVE, SHELDON, IA 51201-8074
(712) 725-2534
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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