Individual
MS. HIROKO MATSUURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAED, ATC, LAT
Contact information
Practice address
800 W 14TH ST, CHANUTE, KS 66720-2639
(620) 431-2820
(620) 431-0082
Mailing address
30 W WALNUT ST, CHANUTE, KS 66720-1745
(314) 365-8766
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000005135
—
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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