NPI 1205291077

Destry Sperfslage

Practitioner Athletic Trainer Waterloo, IA

Practice location

Address: 5525 Summerland Dr, Waterloo, IA 50701-9598
Phone: (563) 608-5650

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 076990 (IA)

Other Specialist/Technologist providers in Iowa →

Registry record

NPI: 1205291077
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Dec 2015
Record last updated: 22 Dec 2015

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.