John Allen Derington, MS, ATC, LAT

NPI #1588063556 in Olathe, Kansas

Provider Information

NPI Number: 1588063556
Entity Type: Individual
Name: John Allen Derington, MS, ATC, LAT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: MS, ATC, LAT
Enumeration Date: Aug 15, 2014
Last Updated: Aug 15, 2014

Practice Location

Address: 12267 S STRANG LINE RD
City: Olathe
State: Kansas
ZIP Code: 66062-5264
Phone: (801) 413-4522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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