Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 105404 | IA |
Y | 213ES0000X | Sports Medicine | 105404 | IA |
N | 2081S0010X | Sports Medicine | AT5130 | TX |
N | 213ES0000X | Sports Medicine | AT5130 | TX |
NPI | 1124516232 |
---|---|
Provider Name | Cari Ann Zubke |
First Address | Cedar Falls, IA 50613-8165 |
Second Address | Georgetown, TX 78626-6100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2018 |
Last Update Date | 29/09/2020 |