Individual
MR. JASON RYAN METTLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
12627 E CENTRAL AVE STE 308, WICHITA, KS 67206-2839
(316) 260-3311
(316) 260-6696
Mailing address
12627 E CENTRAL AVE STE 308, WICHITA, KS 67206-2839
(316) 260-3311
(316) 219-5899
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1103951
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265662456
NPI
—
Enumeration date
07/22/2009
Last updated
11/24/2020
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