Ron Wollenhaupt, ATC, LAT
Specialist/Technologist, Athletic Trainer in Leavenworth, KS. Individual provider (NPI-1).
NPI number1154860195
StatusActive
Last updated in NPPESFeb 22, 2017
Details
- NPI
- 1154860195
- Entity type
- Individual (NPI-1)
- Name
- Ron Wollenhaupt
- Credential
- ATC, LAT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2017
- Last updated
- Feb 22, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 24-00176 | KS | Yes |
Practice location
2012 10th AveLeavenworth, KS 66048-4207
Phone 913-684-1550
Mailing address
9212 Lichtenauer DrApt 539
Lenexa, KS 66219-2101
Phone 913-406-2032
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 22 Athletic Trainer providers in Leavenworth · All 1,312 providers in Leavenworth
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