TYLER HEINTZELMAN

LEAVENWORTH, KS
NPI1376937011
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2015-03-19
Last Update Date2015-03-19
Business Address
-- TYLER HEINTZELMAN
2089 LIMIT ST
LEAVENWORTH, KS 66048-4063
Phone number: 913-596-0162
Mailing Address
-- TYLER HEINTZELMAN
2089 LIMIT ST
LEAVENWORTH, KS 66048-4063
Phone number: 913-596-0162
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