Individual
JOHN ZIRKELBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1651 NAISMITH DR, PAC 1340D, LAWRENCE, KS 66045-4069
(785) 331-6272
Mailing address
1651 NAISMITH DR, PAC 1340D, LAWRENCE, KS 66045-4069
(785) 331-6272
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00378
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PROVIDER CODE 22
RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS
KS
Enumeration date
04/05/2016
Last updated
04/05/2016
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