Individual
EUGENE HOUSDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2311 S KANSAS RD, NEWTON, KS 67114-9032
(316) 283-7187
Mailing address
2311 S KANSAS RD, NEWTON, KS 67114-9032
(316) 283-7187
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14-03287
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-03287
LICENSE
KS
Enumeration date
08/01/2018
Last updated
08/01/2018
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