Individual
JESUS MANAPSAL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7101 E 21ST ST N, WICHITA, KS 67206-1044
(316) 684-8018
Mailing address
1945 N ROCK RD, 1318, WICHITA, KS 67206-1249
(336) 200-3805
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-04027
KS
Other
Enumeration date
02/26/2011
Last updated
02/26/2011
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