Individual
MR. LARRY J ESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5350 W 61ST PLACE, MISSION SPRINGS, MISSION, KS 66205
(913) 262-8070
(913) 262-8070
Mailing address
1620 RHODE ISLAND, LAWRENCE, KS 66044
(785) 760-1002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11 00611
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32305095
BLUE CROSS BLUE SHIELD
KS
Enumeration date
05/16/2007
Last updated
07/08/2007
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