Individual
MR. MATTHEW BLAIR WAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT,ATC
Contact information
Practice address
10730 NALL AVE, SUITE 200, OVERLAND PARK, KS 66211-1366
(913) 945-9829
Mailing address
3700 CLINTON PKWY, APARTMENT 1505, LAWRENCE, KS 66047-2199
(316) 305-2444
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00496
KS
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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