Alex Sietstra

NPI #1982010591 in Sheldon, Iowa

Provider Information

NPI Number: 1982010591
Entity Type: Individual
Name: Alex Sietstra
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 2, 2014
Last Updated: Jul 2, 2014

Practice Location

Address: 3475 KIWI AVE
City: Sheldon
State: Iowa
ZIP Code: 51201-8074
Phone: (712) 725-2534

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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Organizations

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