Individual
KELBY BODLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
834 N SOCORA ST STE 1, WICHITA, KS 67212-3278
(316) 440-3731
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(726) 202-3039
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-04243
KS
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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