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NPI Code Detail

MEDICARE: KRISTAN TODD

MEDICARE: KRISTAN TODD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1720523137
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTAN TODD
Provider Business Mailing Address
First Line : 5050 SPRING VALLEY RD
Second Line :
City : DALLAS
State : TX
Zip : 75244-3995
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1700 SW COLLEGE AVE
Second Line :
City : TOPEKA
State : KS
Zip : 66621-0001
Country : US
Telephone Number : 972-367-4845
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2016
Last Update Date : 12/21/2016

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Directions to “ KRISTAN TODD ” Practice Location

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