Individual
RANDY TOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
900 W 12TH ST, NEWTON HIGH SCHOOL, NEWTON, KS 67114-1451
(316) 284-6280
(316) 284-6288
Mailing address
1504 BERRY AVE, NEWTON, KS 67114-1415
(316) 283-9411
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00025
KS
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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