Blake Anderson, ATC
NPI #1619535556 in Bettendorf, Iowa
Provider Information
- NPI Number
- 1619535556
- Entity Type
- Individual
- Name
- Blake Anderson, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jun 5, 2019
- Last Updated
- Jun 5, 2019
Practice Location
- Address
- 2300 53RD AVE STE LL02
- City
- Bettendorf
- State
- Iowa
- ZIP Code
- 52722-7565
- Phone
- (563) 449-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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