Provider Demographics
NPI:1861722381
Name:TRAINER, ANITA J (DC, MPH)
Entity type:Individual
Prefix:DR
First Name:ANITA
Middle Name:J
Last Name:TRAINER
Suffix:
Gender:F
Credentials:DC, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1042 S EVERETT ST
Mailing Address - Street 2:#1
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67213-3023
Mailing Address - Country:US
Mailing Address - Phone:316-880-6558
Mailing Address - Fax:
Practice Address - Street 1:1042 S EVERETT ST
Practice Address - Street 2:#1
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67213-3023
Practice Address - Country:US
Practice Address - Phone:316-880-6558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-05
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05298111NN1001X
CO2883111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition