Healthcare Provider Details

I. General information

NPI: 1891653572
Provider Name (Legal Business Name): DILLON BARKER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2026
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22670 S HARRISON ST
SPRING HILL KS
66083-3182
US

IV. Provider business mailing address

22670 S HARRISON ST
SPRING HILL KS
66083-3182
US

V. Phone/Fax

Practice location:
  • Phone: 254-899-5253
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: