SAMUEL BRETHAUER

LENEXA, KS
NPI1972782027
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS  24-00582)
Enumeration Date2007-10-25
Last Update Date2007-10-30
Business Address
Mr. SAMUEL BRETHAUER ATC
15609 W 90TH ST LENEXA
LENEXA, KS 66219-2148
Phone number: 913-231-8796
Mailing Address
Mr. SAMUEL BRETHAUER ATC
15609 W 90TH ST LENEXA
LENEXA, KS 66219-2148
Phone number: 913-231-8796
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