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Contact Information

TOMMY GONZALES, LAT, ATC
11716 W WILKINSON ST
MAIZE, KS67101
 Phone: 760-717-7257
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for TOMMY GONZALES · (Male)

NPI Number 1588225858
Status Active
Credentials LAT, ATC
Entity Individual
Enumeration date 06/26/2019
Last updated 08/05/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 24-01498
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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