SHANE VENTEICHER

IOLA, KS
NPI1548791148
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS  24-01162)
Enumeration Date2017-03-24
Last Update Date2017-03-24
Business Address
-- SHANE VENTEICHER ATC, LAT
1801 N COTTONWOOD ST
IOLA, KS 66749-1648
Phone number: 712-292-9135
Mailing Address
-- SHANE VENTEICHER ATC, LAT
1801 N COTTONWOOD ST
IOLA, KS 66749-1648
Phone number: 712-292-9135
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