Individual
TOMOMI K LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
800 W 14TH ST, CHANUTE, KS 66720-2639
(620) 431-2820
(620) 431-0082
Mailing address
320 1/2 E MAIN ST, APT B, CHANUTE, KS 66720-1837
(435) 590-0074
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00687
KS
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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