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

MR. SAMUEL BRETHAUER, ATC

Active Sole Proprietor

MR. SAMUEL BRETHAUER, ATC is a Athletic Trainer healthcare provider located in LENEXA, Kansas. NPI 1972782027 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · LENEXA, KS

Registration Details

NPI Number
1972782027
Provider Type
Individual
Gender
Male
NPI Issued
Oct 25, 2007 (18.614204848445 yrs)
Last Updated
Oct 30, 2007
License
24-00582 (KS)
Sole Proprietor
Yes

Practice Information

Address
15609 W 90TH ST
LENEXA
LENEXA, KS, 662192148
Browse KS providers · Browse ZIP 66219
Phone
9132318796
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in LENEXA, KS

Name Credential NPI
MR. DOUGLAS WAYNE EDWARDS ATC 1225015241
MR. JEFF BRYAN NELSON ATC 1770557696
STACEY PICKERT LAT, ATC 1417006214
VINCENT PAUL DIGIOVANNI MS, L-ATC, CSCS 1194054007
CHARLES TYLER SLEEPER ATC, LAT 1346649449
ERIC PAUL TRUEBLOOD 1134604028
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.