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

TOMMY GONZALES, LAT, ATC

Active

TOMMY GONZALES, LAT, ATC is a Athletic Trainer healthcare provider located in MAIZE, Kansas. NPI 1588225858 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · MAIZE, KS

Registration Details

NPI Number
1588225858
Provider Type
Individual
Gender
Male
NPI Issued
Jun 26, 2019 (7.1065643685573 yrs)
Last Updated
Aug 5, 2022
License
24-01498 (KS)

Practice Information

Address
11716 W WILKINSON ST
MAIZE, KS, 671019007
Browse KS providers · Browse ZIP 67101
Phone
7607177257
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.