Individual
THERESA ANN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1603 N CHAPEL HILL ST, WICHITA, KS 67206-5506
(316) 440-6551
Mailing address
10125 SE TECUMSEH RD, BERRYTON, KS 66409-9644
(785) 409-5260
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-02200
KS
225200000X
Physical Therapy Assistant
2012036264
MO
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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