Individual
JADA HEINZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 N BAY COUNTRY ST, WICHITA, KS 67235-1324
(608) 498-6888
Mailing address
525 N BAY COUNTRY ST, WICHITA, KS 67235-1324
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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