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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN ANTHONY VIVONA, PTA

Active Sole Proprietor

Athletic Trainer · OVERLAND PARK, KS

Registration Details

NPI Number
1316125818
Provider Type
Individual
Gender
Male
NPI Issued
Feb 6, 2008 (18.205712306901 yrs)
Last Updated
Feb 6, 2008
License
2001006780 (MO)
Sole Proprietor
Yes

Practice Information

Address
10300 W 103RD ST
SUITE 300
OVERLAND PARK, KS, 662142642
Browse KS providers · Browse ZIP 66214
Phone
9138941910
Primary Specialty
Athletic Trainer
225500000X

Other Athletic Trainer Providers in OVERLAND PARK, KS

Name Credential NPI
HEIDI P INTHAVONG 1699713248
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.