Individual
DAVID SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 N 2ND ST, ATCHISON, KS 66002-1402
(913) 360-7541
(913) 367-2564
Mailing address
1020 N 2ND ST, ATCHISON, KS 66002-1402
(913) 360-7541
(913) 367-2564
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00253
KS
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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