NPI 1154860195

Ron Wollenhaupt, ATCLAT

Practitioner Athletic Trainer Leavenworth, KS

Practice location

Address: 2012 10th Ave, Leavenworth, KS 66048-4207
Phone: (913) 684-1550
Mailing address: 9212 Lichtenauer Dr APT 539, Lenexa, KS 66219-2101

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 24-00176 (KS)

Other Specialist/Technologist providers in Kansas →

Registry record

NPI: 1154860195
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Feb 2017
Record last updated: 22 Feb 2017

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.