Individual
BRITTAINY SURACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., ATC, LAT
Contact information
Practice address
125 W COOPER ST, STERLING, KS 67579-1533
(620) 278-4259
Mailing address
124 N 3RD ST, STERLING, KS 67579-2117
(216) 854-0069
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-01066
KS
2255A2300X
Athletic Trainer
AT003958
OH
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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