Individual
DELANEY UMHOLTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
629 S PLUMMER AVE, CHANUTE, KS 66720-1928
(620) 432-5379
Mailing address
504 S 9TH ST, HUMBOLDT, KS 66748-1922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-07247
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-07247
STATE LICNESE
KS
05
—
11-07247
—
KS
Enumeration date
02/15/2023
Last updated
02/15/2023
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