Individual provider · Type 1 NPI

John Allen Derington, MS, ATC, LAT

Student in an Organized Health Care Education/Training Program · Olathe, KS

NPI number 1588063556 Active

Practice location

12267 S Strang Line Rd
Olathe, KS 66062-5264

Call (801) 413-4522 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X24-00960. (KS)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1588063556

John Allen Derington, MS, ATC, LAT's National Provider Identifier is 1588063556, issued on Aug 15, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Olathe, KS. The record was last updated on Aug 15, 2014.