Soichiro Shiota, LAT, ATC
NPI #1972984797 in Baldwin City, Kansas
Provider Information
- NPI Number
- 1972984797
- Entity Type
- Individual
- Name
- Soichiro Shiota, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC
- Enumeration Date
- Jun 17, 2015
- Last Updated
- Oct 13, 2016
Practice Location
- Address
- 618 8TH ST
- City
- Baldwin City
- State
- Kansas
- ZIP Code
- 66006-6009
- Phone
- (702) 606-5794
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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