Individual
TRENT MAZANEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 MAINE ST, LAWRENCE, KS 66044-1360
(785) 505-2715
Mailing address
325 MAINE ST, LAWRENCE, KS 66044-1360
(785) 505-2715
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
225100000X
KS
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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