Individual
MICHAEL TRENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11330 WEST 135TH STREET, OVERLAND PARK, KS 66221
(913) 239-9539
Mailing address
3697 W 129TH PL, LEAWOOD, KS 66209-1784
(404) 643-6260
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-03576
LICENSE #
KS
Enumeration date
09/06/2006
Last updated
07/08/2007
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