Individual
JOSHUA TYLER DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18520 W 152ND TER, APT 505, OLATHE, KS 66062-3498
(913) 636-5785
Mailing address
18520 W 152ND TER, APT 505, OLATHE, KS 66062-3498
(913) 636-5785
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
KS
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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