Jacy Cornelis

NPI #1295185783 in Boone, Iowa

Provider Information

NPI Number
1295185783
Entity Type
Individual
Name
Jacy Cornelis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Jun 15, 2016
Last Updated
Jun 15, 2016

Practice Location

Address
1316 PARKSIDE DR
City
Boone
State
Iowa
ZIP Code
50036-5218
Phone
(515) 236-1433

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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