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Individual

ALEXA KATE GUTSCHENRITTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPTA

Contact information

Practice address
629 S PLUMMER AVE, CHANUTE, KS 66720-1928
(620) 432-5379
Mailing address
219 S LAFAYETTE AVE, CHANUTE, KS 66720-2116
(719) 361-0005

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03433
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
14-03433
KS
Enumeration date
08/22/2018
Last updated
08/22/2018
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