Individual provider · NPI-1

Alexis Monique Dominguez

Specialist/Technologist, Athletic Trainer · Kansas City, KS

NPI number1467103127
StatusActive
Last updated in NPPESJan 14, 2022

Details

NPI
1467103127
Entity type
Individual (NPI-1)
Name
Alexis Monique Dominguez
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 14, 2022
Certification date
Jan 14, 2022
Last updated
Jan 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

1300 S 37th St
Kansas City, KS 66106-2032

Phone 816-405-2390

Mailing address

1300 S 37th St
Kansas City, KS 66106-2032

Phone 816-405-2390

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