Individual
RYAN THOMAS ANDREW LACOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1700 SW COLLEGE AVE, TOPEKA, KS 66621-0001
(785) 670-1010
Mailing address
1308 SW SUMMIT WOODS DR APT 5, TOPEKA, KS 66615-1442
(785) 280-3216
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-01477
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051085941
MUTUAL OF OMAHA
KS
Enumeration date
07/21/2020
Last updated
07/21/2020
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