Individual
CANDACE DOMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2500 CANTERBURY DR, SUITE 106, HAYS, KS 67601-2247
(785) 623-6368
(785) 623-5676
Mailing address
2500 CANTERBURY DR, SUITE 106, HAYS, KS 67601-2247
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00268
KS
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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