Individual
BRENT P KOMLOFSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1008 JERRY MASHEK DR, WEST, TX 76691-1866
(254) 981-2050
(254) 826-7514
Mailing address
4500 N IBP RD, HOLCOMB, KS 67851-9023
(620) 640-7924
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7233
TX
Other
Enumeration date
03/03/2019
Last updated
03/03/2019
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