Healthcare Provider Details

I. General information

NPI: 1346119823
Provider Name (Legal Business Name): VERONICA ROSA SEDLMAYER MS, LAT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2025
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1651 NAISMITH DR
LAWRENCE KS
66045-4069
US

IV. Provider business mailing address

313 AHERN ST
ATLANTIC BEACH FL
32233-5249
US

V. Phone/Fax

Practice location:
  • Phone: 785-393-7686
  • Fax:
Mailing address:
  • Phone: 951-760-0367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number24-01849
License Number StateKS

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: