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TANA MARIE PEARSON
Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1467094961
Individual Registrant: TANA MARIE PEARSON
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
13255 SADIES CIR SAINT GEORGE, KS 66535-9838 US
Tel: 785-817-8428 Fax: --
Tel: 785-817-8428 Fax: --
Contact information for business:
13255 SADIES CIR SAINT GEORGE, KS 66535-9838 US
Tel: 785-817-8428 Fax: --
Tel: 785-817-8428 Fax: --
Registration Information:
NPI: 1467094961
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Athletic Trainer | ||
| N | 390200000X | Student Organized Health Care Education/Training Program |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
