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Individual

JOHN EIKENBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, LAT

Contact information

Practice address
502 N 9TH AVE, VINTON, IA 52349-2254
(319) 472-6372
Mailing address
502 N 9TH AVE, VINTON, IA 52349-2254
(319) 472-6372

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03539
IA
2255A2300X
Athletic Trainer
00504
IA

Other

Enumeration date
06/21/2024
Last updated
06/26/2024
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