NPI 1043252711

Timothy David Weesner, ATCLAT

Practitioner Athletic Trainer Ames, IA

Practice location

Address: 1800 S 4th St, Ames, IA 50011-1142
Phone: (515) 294-4598
Fax: (515) 294-6554
Mailing address: 5129 NE Ledgestone CT, Ankeny, IA 50021-6835

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 00427 (IA)

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Registry record

NPI: 1043252711
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jun 2006
Record last updated: 13 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.