Individual
MR. JEFF TILDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPTA
Contact information
Practice address
3115 W 6TH ST, STE B, LAWRENCE, KS 66049-3101
(785) 856-3220
(785) 856-7392
Mailing address
2725 HARPER ST, LAWRENCE, KS 66046-5085
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-02052
KS
Other
Enumeration date
08/10/2009
Last updated
08/10/2009
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