Healthcare Provider Details

I. General information

NPI: 1619507068
Provider Name (Legal Business Name): MAKALA CHRISTINE FINDLING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2020
Last Update Date: 01/23/2020
Certification Date: 01/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

812 UNIVERSITY ST
PELLA IA
50219-1902
US

IV. Provider business mailing address

15424 STATE HIGHWAY B
KIRKSVILLE MO
63501-6861
US

V. Phone/Fax

Practice location:
  • Phone: 660-216-7012
  • Fax:
Mailing address:
  • Phone: 660-216-3075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: