Organization
THERAPEUTIC MASSAGE GROUP AND EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET A KLOES MMP (DIRECTOR)
(316) 706-6965
Entity
Organization
Contact information
Practice address
2504 E GLEN OAKS CIR, WICHITA, KS 67216-2215
(316) 706-6965
Mailing address
10500 E BERKELEY SQUARE PKWY, SUITE 102, WICHITA, KS 67206-6815
(316) 706-6965
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
22
KS
01
—
225700000X
22
KS
Enumeration date
07/29/2014
Last updated
07/29/2014
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