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NPI Code Detail

MEDICARE: ERIN C. BARSEMA ATC, LAT

MEDICARE: ERIN C. BARSEMA ATC, LAT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer000741IA

General Provider Information

NPI Number : 1467926261
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN C. BARSEMA ATC, LAT
Provider Business Mailing Address
First Line : 20815 BELLEVUE CASCADE RD
Second Line :
City : LA MOTTE
State : IA
Zip : 52054-9493
Country : US
Telephone Number : 563-589-3857
Fax Number :
Provider Business Practice Location Address
First Line : 2000 UNIVERSITY AVE
Second Line :
City : DUBUQUE
State : IA
Zip : 52001-5050
Country : US
Telephone Number : 563-589-3857
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2019
Last Update Date : 01/15/2019

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Directions to “ ERIN C. BARSEMA ATC, LAT” Practice Location

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