Individual
STEVEN ICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT ATC
Contact information
Practice address
1700 SW COLLEGE AVE, TOPEKA, KS 66621-0001
(785) 670-1753
(785) 670-1091
Mailing address
3134 SE STARLITE DR, TOPEKA, KS 66605-2168
(785) 608-4505
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00010
KS
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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