Individual
BRYONNA MICHELLE HAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6731 W 121ST ST STE 100, OVERLAND PARK, KS 66209-2003
(913) 239-8777
Mailing address
15710 W MCCORMICK AVE, GODDARD, KS 67052-5212
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-04003
KS
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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