Tatum Breanne Komlodi, MAT, LAT, ATC
Specialist/Technologist, Athletic Trainer in Fort Riley, KS. Individual provider (NPI-1).
NPI number1962269860
StatusActive
Last updated in NPPESDec 23, 2025
Details
- NPI
- 1962269860
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tatum Breanne Komlodi
- Credential
- MAT, LAT, ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 6, 2024
- Certification date
- Dec 23, 2025
- Last updated
- Dec 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 24-01819 | KS | Yes |
Other names
- Tatum Breanne Hogenes (Former Name)
Practice location
650 Huebner RdFort Riley, KS 66442-4030
Phone 480-290-3983
Mailing address
3108 Claflin RdManhattan, KS 66503-2820
Phone 480-290-3983
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All 12 Athletic Trainer providers in Fort Riley · All 526 providers in Fort Riley
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