Individual
NATHAN EDWARD CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
13035 KANSAS AVE, BONNER SPRINGS, KS 66012-9206
(913) 721-6362
(913) 422-6675
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05738
KS
Other
Enumeration date
07/25/2017
Last updated
07/21/2022
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