Individual
SHANE VENTEICHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1801 N COTTONWOOD ST, IOLA, KS 66749-1648
(712) 292-9135
Mailing address
1801 N COTTONWOOD ST, IOLA, KS 66749-1648
(712) 292-9135
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-01162
KS
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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