BRYCE WALTER

WICHITA, KS
NPI1801200449
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS  24-00695)
Enumeration Date2014-06-11
Last Update Date2014-06-11
Business Address
-- BRYCE WALTER LAT, AT-c
12112 W KELLOGG ST
WICHITA, KS 67235-1100
Phone number: 316-440-1100
Mailing Address
-- BRYCE WALTER LAT, AT-c
12112 W KELLOGG ST
WICHITA, KS 67235-1100
Phone number: 316-440-1100