Individual
ANTHONY VIDALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1057 W COLLEGE AVE, INDEPENDENCE, KS 67301-8556
(620) 331-4100
Mailing address
1057 W COLLEGE AVE, INDEPENDENCE, KS 67301-8556
(815) 529-9064
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-01265
KS
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/17/2015
Last updated
08/07/2026
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