Individual
TYLER HEINTZELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2089 LIMIT ST, LEAVENWORTH, KS 66048-4063
(913) 596-0162
Mailing address
2089 LIMIT ST, LEAVENWORTH, KS 66048-4063
(913) 596-0162
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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