Individual
THERESE ELIZABETH KIENSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
2201 KIMBALL AVE, MANHATTAN, KS 66502-3314
(785) 320-0670
Mailing address
2201 KIMBALL AVE, MANHATTAN, KS 66502-3314
(785) 320-0670
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2013024982
MO
Other
Enumeration date
02/19/2018
Last updated
08/03/2021
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