Individual
CAITLYN DANAE IDLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
520 S HOLLAND LN STE 407, WICHITA, KS 67209-2060
(316) 737-0160
Mailing address
520 S HOLLAND LN STE 407, WICHITA, KS 67209-2060
(316) 737-0160
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
43535
KS
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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