Healthcare Provider Details

I. General information

NPI: 1356253256
Provider Name (Legal Business Name): VIANAY ORTEGA MS, LAT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 W COOPER ST
STERLING KS
67579-2500
US

IV. Provider business mailing address

313 S 3RD ST
STERLING KS
67579-2304
US

V. Phone/Fax

Practice location:
  • Phone: 620-278-2173
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number24-01833
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: