Ron Wollenhaupt, ATC, LAT

NPI #1154860195 in Leavenworth, Kansas

Provider Information

NPI Number
1154860195
Entity Type
Individual
Name
Ron Wollenhaupt, ATC, LAT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, LAT
Enumeration Date
Feb 22, 2017
Last Updated
Feb 22, 2017

Practice Location

Address
2012 10TH AVE
State
Kansas
ZIP Code
66048-4207
Phone
(913) 684-1550

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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