Individual
KRISTIN DIANE EWERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
13303 W MAPLE ST, STE 129, WICHITA, KS 67235-8757
(316) 854-5859
(316) 854-5860
Mailing address
13303 W MAPLE ST, STE 129, WICHITA, KS 67235-8757
(316) 854-5859
(316) 854-5860
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03953
KS
Other
Enumeration date
06/08/2009
Last updated
03/02/2012
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