Individual
MRS. ARISTA GROOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC, EMT
Contact information
Practice address
300 VIKING BLVD, WINFIELD, KS 67156-2508
(620) 221-5160
Mailing address
1407 WHEAT RD, WINFIELD, KS 67156-4705
(620) 221-5100
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00777
KS
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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