TYLER LOUGH

WICHITA, KS
NPI1114460755
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS  24-01021)
Enumeration Date2016-11-30
Last Update Date2016-11-30
Business Address
-- TYLER LOUGH M.S., ATC, LAT
12112 W KELLOGG ST
WICHITA, KS 67235-1100
Phone number: 316-440-1100
Mailing Address
-- TYLER LOUGH M.S., ATC, LAT
5366 N LYCEE ST
BEL AIRE, KS 67226-8701
Phone number: 785-458-2633
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