Individual
JEREMY A GOATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4910 CORPORATE CENTRE DR STE 150, LAWRENCE, KS 66047-1002
(785) 312-9127
Mailing address
4910 CORPORATE CENTRE DR STE 150, LAWRENCE, KS 66047-1002
(857) 312-9127
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2400498
KS
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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