Individual
DEANNA PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LAT, ATC, EMT
Contact information
Practice address
1112 W 6TH ST STE 124, LAWRENCE, KS 66044-2249
(785) 843-9125
Mailing address
1112 W 6TH ST STE 124, LAWRENCE, KS 66044-2249
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/30/2015
Last updated
03/23/2020
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