Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANNER JAMES VICK, ATC
Active Sole ProprietorTANNER JAMES VICK, ATC is a Athletic Trainer healthcare provider located in SOUTH HUTCHINSON, Kansas. NPI 1063070357 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SOUTH HUTCHINSON, KS
Registration Details
- NPI Number
- 1063070357
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2019 (7.1856010779877 yrs)
- Last Updated
- May 31, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
404 S ADAMS STSOUTH HUTCHINSON, KS, 675051950Browse KS providers · Browse ZIP 67505
- Phone
- 6209211307
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.