Organization
SALT CREEK REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN A SWINDALE PTA (OWNER/OPERATOR)
(785) 528-1123
Entity
Organization
Contact information
Practice address
104 W MARKET ST, SUITE B, OSAGE CITY, KS 66523
(785) 528-1123
Mailing address
104 W MARKET ST, SUITE B, OSAGE CITY, KS 66523
(785) 528-1123
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-00751
KS
Other
Enumeration date
08/17/2006
Last updated
08/22/2020
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