Mindy Allenstein
Individual provider Active NPI Athletic Trainer · Clear Lake, IA
NPI 1336606540 · NPPES record last updated Feb 24, 2019
Key facts
- NPI
- 1336606540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 1200 10TH Ave N Lot 32
Clear Lake, IA 50428-2045 - Phone
- (641) 583-1014
- NPI assigned
- Feb 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
1200 10TH Ave N Lot 32
Clear Lake, IA 50428-2045
Mailing address
1200 10TH Ave N Lot 32
Clear Lake, IA 50428-2045
Other practice location 1
1200 10th Ave N Lot 32
Clear Lake, IA 50428-2045
Phone (641) 583-1014
Other providers in Clear Lake, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.