Thad Michael Deweese, ATC-L

NPI #1538217252 in Liberal, Kansas

Provider Information

NPI Number
1538217252
Entity Type
Individual
Name
Thad Michael Deweese, ATC-L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC-L
Enumeration Date
Jan 8, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1801 N KANSAS AVE
State
Kansas
ZIP Code
67901-2054
Phone
(620) 629-2671

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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