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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDREW JEDLICKA, MS, LAT, ATC

Active Sole Proprietor

Athletic Trainer · DES MOINES, IA

Registration Details

NPI Number
1134578347
Provider Type
Individual
Gender
Male
NPI Issued
Jun 8, 2016 (9.8716345518602 yrs)
Last Updated
Aug 2, 2022
Licenses
000918 (IA)
1926-39 (WI)
Sole Proprietor
Yes

Practice Information

Address
1421 27TH ST
DES MOINES, IA, 503113020
Browse IA providers · Browse ZIP 50311
Phone
5632192200
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Sports Medicine (EM)
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in DES MOINES, IA

Name Credential NPI
ROBERT JAMES GRIMES ATC 1669440889
DR. CHRISTOPHER PAUL VIESSELMAN LAT, ATC 1700920865
ROY CRAIG LOWRY ATC, LAT 1154548238
MR. JASON MICHAEL UHLENHAKE MS, LAT, ATC 1780888297
ASHLEY HODGES ATC, LAT 1396944898
ALLISON KLAPPERICH ATC 1043634504
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.