Individual
WHITNEY WERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 S PINE ST, INMAN, KS 67546-8014
(620) 200-3508
Mailing address
315 S PINE ST, P.O. BOX 111, INMAN, KS 67546-8014
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000027259
KS
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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