Individual
JILL D AUSTIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11120 E 26TH ST N, STE 1300, WICHITA, KS 67226-4603
(316) 858-1177
(316) 858-1178
Mailing address
1115 N POST OAK RD, WICHITA, KS 67206-3831
(316) 858-1177
(315) 858-1178
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02955
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200268930A
—
KS
01
—
30-0192702
TAX ID #
KS
Enumeration date
12/01/2005
Last updated
07/26/2018
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