Braden Ashvin Phetkhamchanh

NPI #1003487638 in Oskaloosa, Iowa

Provider Information

NPI Number
1003487638
Entity Type
Individual
Name
Braden Ashvin Phetkhamchanh
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Jul 6, 2021
Last Updated
Jul 6, 2021

Practice Location

Address
201 TRUEBLOOD AVE
State
Iowa
ZIP Code
52577-1757
Phone
(641) 673-1093

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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