Individual
SUSAN JANE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
101 E ELM ST, COLUMBUS, KS 66725-1820
(256) 810-8290
Mailing address
4500 SW 20TH ST, COLUMBUS, KS 66725-8478
(256) 810-8290
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03669
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200621250A
—
KS
Enumeration date
09/23/2009
Last updated
02/25/2021
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