Individual
MR. TODD WAYNE GADDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
7550 W. VILLAGE CIRCLE, SUITE 1, WICHITA, KS 67205
(316) 838-2020
Mailing address
510 EASTRIDGE ST N, VALLEY CENTER, KS 67147-4710
(316) 755-2165
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00044
KS
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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