NPI 1053193565

Todd Allen Fagan

Practitioner Athletic Trainer Wichita, KS

Practice location

Address: 1845 Fairmount St, Wichita, KS 67260-0018
Phone: (316) 978-5575
Fax: (316) 978-3177

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 24-00507 (KS)

Other Specialist/Technologist providers in Kansas →

Registry record

NPI: 1053193565
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Oct 2023
Record last updated: 18 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.