Individual
SOICHIRO SHIOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
618 8TH ST, BALDWIN CITY, KS 66006-6009
(702) 606-5794
Mailing address
618 8TH ST, PO BOX 65, BALDWIN CITY, KS 66006-6009
(702) 606-5794
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-01130
KS
Other
Enumeration date
06/17/2015
Last updated
10/13/2016
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