MR. Samuel Brethauer, ATC

NPI #1972782027 in Lenexa, Kansas

Provider Information

NPI Number
1972782027
Entity Type
Individual
Name
MR. Samuel Brethauer, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Oct 25, 2007
Last Updated
Oct 30, 2007

Practice Location

Address
15609 W 90TH ST
Address 2
LENEXA
City
Lenexa
State
Kansas
ZIP Code
66219-2148
Phone
(913) 231-8796

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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