Individual
CYNTHIA JANE KISSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
909 S 5TH ST, ATCHISON, KS 66002-2908
(816) 803-3751
Mailing address
909 S 5TH ST, ATCHISON, KS 66002-2908
(816) 803-3751
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-05182
KS
225200000X
Physical Therapy Assistant
2000145659
MO
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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