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