Individual
CHRISTOPHER IBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
300 E 27TH ST, NORTH NEWTON, KS 67117-8061
(316) 284-5209
Mailing address
300 E 27TH ST, NORTH NEWTON, KS 67117-8061
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
240-00992
KS
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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