Individual
ZACHARY S CANNIZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1151 N ROCK RD, WICHITA, KS 67206-1262
(316) 634-3400
Mailing address
3586 N FOREST RIDGE ST, WICHITA, KS 67205-4502
(785) 307-0718
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00913
KS
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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