THOMAS KENNETH KSIAZEK

NORTH PLATTE, NE
NPI1851804041
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NE  854)
Enumeration Date2017-11-09
Last Update Date2018-03-17
Business Address
THOMAS KENNETH KSIAZEK MSAT, LAT, ATC
1115 S COTTONWOOD ST
NORTH PLATTE, NE 69101-6108
Phone number: 308-568-7456
Mailing Address
THOMAS KENNETH KSIAZEK MSAT, LAT, ATC
816 S YORK AVE
NORTH PLATTE, NE 69101-6279
Phone number: 402-276-6590
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