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Individual

ADAM DISETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
8550 MARSHALL DR STE 210, LENEXA, KS 66214-9836
(913) 492-0333
Mailing address
200 W DOUGLAS AVE STE 250, WICHITA, KS 67202-3002
(316) 263-0003

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-04071
KS

Other

Enumeration date
03/02/2023
Last updated
03/02/2023
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