Individual
KYLE EUGENE SCHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
622 N EDGEMOOR ST, WICHITA, KS 67208-3602
(316) 686-5100
(316) 686-3993
Mailing address
922 PARKWAY DR, VALLEY CENTER, KS 67147-2677
(316) 755-2561
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02373
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-02373
KANSAS LICENSE NUMBER
KS
Enumeration date
03/15/2007
Last updated
07/08/2007
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