Individual
CHRIS CANNIZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT ATC
Contact information
Practice address
707 N EMPORIA ST, WICHITA, KS 67214-3707
(316) 650-5698
Mailing address
2701 N PARKDALE ST, WICHITA, KS 67205-6019
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00169
KS
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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