Individual
ADDIE E LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6701 W 121ST ST STE 300, LEAWOOD, KS 66209-2034
(913) 498-8492
(913) 498-8498
Mailing address
200 W DOUGLAS AVE STE 1040, WICHITA, KS 67202-3017
(316) 263-0003
(316) 263-1241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05861
KS
Other
Enumeration date
06/05/2018
Last updated
04/09/2025
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