Suzanne Siebert
Specialist/Technologist, Athletic Trainer in Melbourne, FL. Individual provider (NPI-1).
NPI number1083200323
StatusActive
Last updated in NPPESDec 20, 2020
Details
- NPI
- 1083200323
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Suzanne Siebert
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 20, 2020
- Certification date
- Dec 20, 2020
- Last updated
- Dec 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
3421 Beth LnMelbourne, FL 32934-8416
Phone 321-610-3003
Mailing address
3421 Beth LnMelbourne, FL 32934-8416
Phone 321-610-3003
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