Individual
MR. DANIEL FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC LAT
Contact information
Practice address
4136 SE RIDGEVIEW TER, TOPEKA, KS 66609-1541
(785) 969-4749
Mailing address
4136 SE RIDGEVIEW TER, TOPEKA, KS 66609-1541
(785) 969-4749
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
529058
KS
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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