RON WOLLENHAUPT

LEAVENWORTH, KS
NPI1154860195
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: KS  24-00176)
Enumeration Date2017-02-22
Last Update Date2017-02-22
Business Address
RON WOLLENHAUPT ATC, LAT
2012 10TH AVE
LEAVENWORTH, KS 66048-4207
Phone number: 913-684-1550
Mailing Address
RON WOLLENHAUPT ATC, LAT
9212 LICHTENAUER DR APT 539
LENEXA, KS 66219-2101
Phone number: 913-406-2032