Individual
CRAIG FAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1818 E 23RD AVE, HUTCHINSON, KS 67502-1106
(620) 665-7766
(620) 662-2811
Mailing address
1818 E 23RD AVE, HUTCHINSON, KS 67502-1106
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00664
KS
Other
Enumeration date
07/20/2011
Last updated
01/23/2012
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