Individual
TERRY LYNNE GOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2500 N MAIN ST, SUITE J, HUTCHINSON, KS 67502-3600
(620) 669-9190
Mailing address
2500 N MAIN ST, SUITE J, HUTCHINSON, KS 67502-3600
(620) 708-8225
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-01732
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012685
PROVIDER NUMBER
KS
05
—
100361670A
—
KS
Enumeration date
08/31/2006
Last updated
11/11/2015
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