THAD MICHAEL DEWEESE

LIBERAL, KS
NPI1538217252
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: KS  24-00040)
Enumeration Date2007-01-08
Last Update Date2007-07-08
Business Address
THAD MICHAEL DEWEESE ATC-L
1801 N KANSAS AVE
LIBERAL, KS 67901-2054
Phone number: 620-629-2671
Mailing Address
THAD MICHAEL DEWEESE ATC-L
1331 S SHERMAN AVE
LIBERAL, KS 67901-4710
Phone number: 620-624-6695
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