Individual
MR. YUYA NAKAMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
800 W 14TH ST, CHANUTE, KS 66720-2639
(620) 431-0373
(620) 431-0082
Mailing address
800 W 14TH ST, CHANUTE, KS 66720-2639
(620) 431-0373
(620) 431-0082
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-01419
KS
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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