Individual
EDDIE LIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
981 FOREST CT, HAYSVILLE, KS 67060-1478
(316) 522-1095
Mailing address
981 FOREST CT, HAYSVILLE, KS 67060-1478
(316) 522-1095
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-00408
KS
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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