Individual
SUSAN SCULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPTA
Contact information
Practice address
33600 W 85TH ST, DE SOTO, KS 66018-8118
(913) 585-1602
(913) 317-8288
Mailing address
PO BOX 831, MADILL, OK 73446-0831
(580) 795-3301
(580) 795-7307
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01581
KS
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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