Individual
MYRA TIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 COLLEGE ST, WINFIELD, KS 67156-2443
(620) 229-6159
Mailing address
1820 WARREN AVE # 48, WINFIELD, KS 67156-1937
(321) 439-1167
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/10/2018
Last updated
08/27/2020
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