Individual
SHANNON ZOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
10730 NALL AVE, OVERLAND PARK, KS 66211-1366
(913) 945-9820
Mailing address
16353 W 171ST TER, OLATHE, KS 66062-4122
(619) 917-7277
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00891
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040802021
NATA-BOC
—
Enumeration date
10/27/2016
Last updated
10/27/2016
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