Individual
JEFFERY FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3501 DIRR AVE, PARSONS, KS 67357-2220
(620) 421-1450
Mailing address
3501 DIRR AVE, PARSONS, KS 67357-2220
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-00491
KS
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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