Individual
MR. ALLEN ANTHONY CHILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
12480 W 62ND TER STE 100, SHAWNEE, KS 66216-1871
(913) 248-8888
(855) 898-3660
Mailing address
12480 W 62ND TER STE 100, SHAWNEE, KS 66216-1871
(913) 248-8888
(855) 898-3660
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
3484
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200335680A
—
KS
Enumeration date
06/10/2005
Last updated
03/07/2019
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