THOMAS BERTONCINO

LEAVENWORTH, KS
NPI1699136739
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS  24-01072)
Enumeration Date2016-03-17
Last Update Date2016-03-17
Business Address
Dr. THOMAS BERTONCINO A.T.C.
4100 S 4TH ST
LEAVENWORTH, KS 66048-5082
Phone number: 913-758-6260
Mailing Address
Dr. THOMAS BERTONCINO A.T.C.
4100 S 4TH ST
LEAVENWORTH, KS 66048-5082
Phone number: 913-758-6260