Individual
DANIELLE DON TERESA SUMNERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2409 GALLOWAY DR, MANHATTAN, KS 66502-6631
(785) 410-5454
Mailing address
2409 GALLOWAY DR, MANHATTAN, KS 66502-6631
(785) 410-5454
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00685
KS
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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