Stacie Brown
Specialist/Technologist, Athletic Trainer in Des Moines, IA. Individual provider (NPI-1).
NPI number1326580606
StatusActive
Last updated in NPPESNov 17, 2016
Details
- NPI
- 1326580606
- Entity type
- Individual (NPI-1)
- Name
- Stacie Brown
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 17, 2016
- Last updated
- Nov 17, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 082504 | IA | Yes |
Practice location
1201 Herold AveDes Moines, IA 50315
Phone 515-778-3439
Mailing address
1201 Herold AveDes Moines, IA 50315-3858
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