MADISON CORONA ATC, LAT
Individual Provider (NPI-1)
Active
Preventive Medicine, Sports Medicine
Provider Information
- NPI Number
1568185007- Provider Type
- Individual Provider (NPI-1)
- Credentials
- ATC, LAT
- Status
- Active
Contact & Location
- Address
- 1651 NAISMITH DR, LAWRENCE, KS, 660454069
- Phone
- (785) 393-3342
Specialties & Taxonomies
Preventive Medicine, Sports Medicine
Primary License: KS #24-01493